| NPI | 1679926885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRESSELAR WILLIAMS-LEE CEO 318-868-3093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2023-07-04 |