| NPI | 1164957460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN GRAY WHITE Occupational Therapist 985-714-0923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: LA Z10870) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: LA 4720) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |