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 |