| NPI | 1770938821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CARR-JOHNSON Mental Health Professional 318-572-2899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |