| NPI | 1932856820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE APPLEWHITE Director 318-855-4061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2023-06-23 |