| NPI | 1992950828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWANA R CALHOUN-BEAUDION Administrator 318-636-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2015-08-31 |