| NPI | 1447512512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TERRY Director Of Business Operation/ Mhp 318-670-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2023-06-23 |