NPI | 1669918199 |
---|---|
Entity Type | Organization |
Authorized Contact | MAR'DOSHA PEEK Chief Executive Officer 318-771-7707 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-01-08 |
Last Update Date | 2023-06-23 |