| NPI | 1073971297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE APPLEWHITE Owner 318-789-6819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |