NPI | 1679858054 |
---|---|
Entity Type | Organization |
Authorized Contact | ALPHONSO BINGHAM Administrator/CEO 318-255-8405 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2011-10-17 |
Last Update Date | 2011-10-17 |