| NPI | 1659757714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY COPELAND FORCINEL Manager 318-455-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: LA AP08461) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA AP08461) |
| 273R00000X Psychiatric Unit (Licence: LA AP08461) | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |