| NPI | 1174736409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WAILES Executive Director 318-932-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: LA 2668) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |