| NPI | 1497623912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGENIA CARTER Nurse Practitoner 318-814-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-12-02 |