| 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 |