| NPI | 1053913442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BRISTER Owner 318-323-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2023-02-28 |