| NPI | 1720025919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY BROADWAY CEO 318-329-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-03-07 |