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 |