| NPI | 1477690691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE PHILLIPS THOMPSON Program Director 318-322-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-09-05 |