| NPI | 1699212696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEJANARA DORSHELL BAKER Mental Health Specialist 318-655-1451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-30 |