| NPI | 1376471490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAIN BAPTISTE Authorized Representative 870-908-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-05-11 |
| Last Update Date | 2026-05-11 |