| NPI | 1902256886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LAIR Director 318-308-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 251S00000X | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2021-10-18 |