| NPI | 1023143963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SAMUEL FORD Administrator 337-232-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: LA 251C00000X) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |