NPI | 1548788425 |
---|---|
Entity Type | Organization |
Authorized Contact | NEAL ANGRUM C.E.O 318-450-1478 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-08-31 |
Last Update Date | 2023-11-12 |