NPI | 1629283965 |
---|---|
Entity Type | Organization |
Authorized Contact | PHAETRA KAFUNYA RANEY-SEMIEN Director 318-335-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 1467529) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2020-08-22 |