| NPI | 1306481445 |
|---|---|
| Former Legal Business Name | UPGRADE GROUP HOME LLC |
| Former Legal Business Name | UPGRADE GROUP HOME, LLC |
| Entity Type | Organization |
| Authorized Contact | CARL WILLIAMS Dr Of Theology 225-394-9271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |