| NPI | 1154508364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS MITCHELL President/CEO 318-459-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization (Licence: LA 11385) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |