NPI | 1528877362 |
---|---|
Entity Type | Organization |
Authorized Contact | MOLLY R. BOYD Owner 318-557-5519 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2025-01-06 |
Last Update Date | 2025-04-03 |