| NPI | 1881969210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAWNDA WHITE Registered Addictions Counselor 318-357-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: LA 1288) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |