| NPI | 1033481387 |
|---|---|
| Other Name | LONGFELLOW GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | COLLIS BENTON TEMPLE Chief Executive Officer 225-383-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |