| NPI | 1326235565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA DENISE CARTER Pastor 225-346-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: LA PCA 12390) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |