| NPI | 1932434990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E THROWER CEO 318-213-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2023-06-14 |