NPI | 1184841488 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA DENISE CARTER Pastor 225-924-4575 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: LA PCA 12390) |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: LA SIL 12514) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-09-25 |