| NPI | 1780558965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUINA DOVE-CUMMINGS Owner 318-572-7840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2026-01-15 |