| NPI | 1942078456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY ALEXANDER HOUSTON CEO 318-489-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2024-04-30 |