| NPI | 1700073145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIA S PIERCE President 318-512-1257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 7300) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 7268) |
| 251S00000X Community/Behavioral Health (Licence: LA 1011967) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |