| NPI | 1508924911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E THROWER CEO 318-636-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA MD022979) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 4131) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-11-17 |