| NPI | 1447072715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY COX Licensed Clincial Social Worker 318-423-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |