| NPI | 1811719834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RANDALE FRITH Operations Manager 318-527-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |