NPI | 1700188810 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE STEVENS President 318-221-8525 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA 10160R) |
Enumeration Date | 2010-11-22 |
Last Update Date | 2010-11-22 |