| NPI | 1902262694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA DOUGLAS CEO 318-237-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2023-08-02 |