NPI | 1144106972 |
---|---|
Doing Business As | PUDDENS PLACE |
Entity Type | Organization |
Authorized Contact | LARRY PIERRE DAVIS CEO 318-243-9968 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2025-08-15 |
Last Update Date | 2025-08-15 |