| NPI | 1043517337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIS BENTON TEMPLE Chief Executive Officier 225-383-9139 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: LA 9751) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |