| NPI | 1629901442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTA GIPSON Managing Member 318-791-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-06-03 |
| Last Update Date | 2026-08-13 |