NPI | 1992013064 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH GREGORY STEPHENS Chief Executive Officer 318-453-9707 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2010-09-22 |
Last Update Date | 2010-09-22 |