| NPI | 1790822617 |
|---|---|
| Doing Business As | LEESVILLE MENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | REBECCA I CRAIG Regional Manager 318-487-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 94) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-01-09 |