NPI | 1891817151 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY LEE AUBREY Administrator 318-861-4357 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 101YM0800X) |
Enumeration Date | 2007-04-05 |
Last Update Date | 2008-06-26 |