| NPI | 1043967144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTEN LEWIS Co Owner/Program Director 225-636-9827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2023-12-04 |