| NPI | 1629529292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE JENKINS Vice President Of Behavior 318-221-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |