| NPI | 1174981468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKARA NICHELLE BUTLER Owner 225-394-6968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: LA 000123074) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |