| NPI | 1467901710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASSION TAYLOR PAYNE CEO 318-792-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |