| NPI | 1790829646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENA LAIRD CEO 318-871-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 1544710) |
| 251S00000X (Licence: LA 2203783518) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2023-07-03 |