| 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 |