| NPI | 1568676286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A JOINER Interim Director 318-484-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: LA 1712094) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |