| NPI | 1821450933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTA F STARR Therapist 318-323-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: LA 6668) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |