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 |