| NPI | 1497020739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNA M MCGREW Director, Family Support Org 318-323-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |