| NPI | 1912476482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED CALLOWAY CFO 318-396-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |