| NPI | 1992667604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DENISE DANIELS HAY Mental Health Nurse Practitioner 318-519-5018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-01 |