NPI | 1376838482 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE APPLEWHITE Director 318-323-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 34260) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2023-07-11 |