| NPI | 1558548479 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ANN HIRST, LCSW,DCSW,ACSW Psychotherapist 318-424-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 3129) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-06-27 |