| NPI | 1225630726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY BROWN Executive Director 225-372-5061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2022-12-20 |