| NPI | 1184745853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT ERIC DENHAM Administrator 985-643-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 385H00000X Respite Care (Licence: LA ADHC 5001) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2022-10-28 |