| NPI | 1750482469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON OTIS NOBLE Program Director/Member 318-329-9455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2010-12-14 |