| NPI | 1225190275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D. DONNIE PECANTTE Program Director 337-385-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: LA 6969) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |