| NPI | 1912447095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARNELL LINNEAR Director 318-532-9214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 172V00000X Community Health Worker | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| 305S00000X Point of Service | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2018-09-17 |