| NPI | 1588474563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIA RENA SANDERS Nurse 318-436-9717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |