| NPI | 1831661115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD THROWER CEO 318-213-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2023-06-14 |