| NPI | 1013614361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ALEXANDER HARRIS Administrator 225-907-9692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |