| NPI | 1205992997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBY CHALONE BRANDEN Board Secretary 504-520-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-08-15 |