| NPI | 1477816569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY HARRIS-WOODARD Owner 318-686-0276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 4136) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |