| NPI | 1851118780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD THROWER Chief Executive Officer 318-213-1395 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |