| NPI | 1093931016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON SMITH CEO 318-636-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: LA 9650) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2025-03-12 |