| NPI | 1649483629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHAETRA KAFUNYA RANEY-SEMIEN Director 318-335-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 1625141) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |