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 |