| NPI | 1215550207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS ANTOINE LALONDE Executive Director 318-704-5807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2020-05-25 |