| NPI | 1821284795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY JO MARTIN Lpn 318-362-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-26 |