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 |