| NPI | 1063600369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES GEORGE Owner 985-687-6016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |