NPI | 1467980037 |
---|---|
Entity Type | Organization |
Authorized Contact | PASSION LACOLE TAYLOR PAYNE Program Director 318-792-8448 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2017-05-26 |
Last Update Date | 2017-05-26 |