NPI | 1316198575 |
---|---|
Doing Business As | PINECREST SUPPORTS AND SERVICES CENTER |
Entity Type | Organization |
Authorized Contact | SHERRI A. EVANS Regional Administrator 318-641-2006 |
Organization Subpart ? | Yes |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2008-10-07 |
Last Update Date | 2008-12-08 |