| NPI | 1801062054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEONA DENICE ROBINSON Registered Nurse3 318-676-5135 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 79957) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |