| NPI | 1518495779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BROWN Co Owner 318-990-0168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2023-06-23 |