| 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 |