| NPI | 1164882981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JAMES BROWN Owner 225-828-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |