NPI | 1770731622 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY MARSHALL Treasurer 318-342-0003 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 15091) |
Enumeration Date | 2008-09-04 |
Last Update Date | 2008-09-04 |