| NPI | 1467979708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASHONDA ATKINS Executive Director 318-560-7308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 2233783560) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2023-06-23 |