NPI | 1033682943 |
---|---|
Entity Type | Organization |
Authorized Contact | MARDOSHA PEEK CEO 318-655-7375 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
251C00000X Day Training, Developmentally Disabled Services | |
Enumeration Date | 2019-01-03 |
Last Update Date | 2024-06-26 |