| NPI | 1942818448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYSALINE YOUNG Owner / Manager / Therapist 318-936-4946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-22 |