| 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 |