| NPI | 1881638880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KOTTENBROOK Director/ Administrator 318-549-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: LA 572) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-03-17 |