| NPI | 1336691682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKI LYNNE WORD Owner/Manager 318-704-6591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: LA 2203782946) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2017-03-23 |