| NPI | 1447337787 |
|---|---|
| Doing Business As | CHI - CADDO |
| Entity Type | Organization |
| Authorized Contact | MARY MADDEN CHUMLEY Executive Director 318-688-3350 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: LA 3665) |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-10-18 |