| 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 | 251C00000X Day Training, Developmentally Disabled Services |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2024-06-26 |