| NPI | 1174120612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANN CRAIG Owner 225-252-7633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |