| NPI | 1295158699 |
|---|---|
| Other Name | LIFE LINK OF LOUISIANA |
| Entity Type | Organization |
| Authorized Contact | CARLOS PORTER Owner 678-949-3184 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA ga006581) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |