| NPI | 1417460262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J CASEY Administrator 318-683-4086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-27 |