| NPI | 1932565058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KSY DIANE CAESAR Executive Directive 318-639-9543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 003986188) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |