NPI | 1669689634 |
---|---|
Entity Type | Organization |
Authorized Contact | SAUNDRA L. EUBANKS Administrator 318-410-1062 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 1565563) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2011-08-12 |