| NPI | 1912581687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALESHA ANTOINETTE SMITH Admin/Mental Health Specialist 318-349-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |