| NPI | 1770700460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF LINZAY Pharmacy Director 318-484-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: LA C000150-H) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |