NPI | 1003081498 |
---|---|
Other Name | A COMMUNITY ALTERNATIVE |
Entity Type | Organization |
Authorized Contact | JOHNNIE MCVAY Manager 225-987-0031 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA LA PCA 14099) |
Enumeration Date | 2008-04-25 |
Last Update Date | 2018-06-21 |