| NPI | 1134078769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL OLADEJI Program Manager 318-516-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2026-01-26 |
| Last Update Date | 2026-01-26 |