| NPI | 1952574121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M MARSHALL Executive Director 318-342-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: LA 2780) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-06-26 |