| NPI | 1245401306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PETER JAKES Chief Executive Officer 985-345-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 305S00000X Point of Service (Licence: LA 1175790) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |