NPI | 1508083114 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA KAY WELCH Program Nurse 318-442-3163 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: LA RN080924) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2020-08-22 |