NPI | 1831556216 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES PERRY JENKINS CEO 318-470-0931 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2016-01-15 |
Last Update Date | 2023-06-05 |