| NPI | 1639884067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH CUMMINGS Owner 318-349-8272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2024-04-24 |