NPI | 1093050064 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRELDA SANDERS Executive Director 504-247-6519 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2012-12-03 |
Last Update Date | 2016-03-22 |