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 |