NPI | 1790147734 |
---|---|
Entity Type | Organization |
Authorized Contact | DERRICK HOARD Therapist 318-323-9995 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: LA 6489) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2016-03-28 |