| NPI | 1043436066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON SMITH CEO 318-636-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: LA 8267) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-06-29 |