NPI | 1346512753 |
---|---|
Other Name | CHANGES GROUP HOME |
Entity Type | Organization |
Authorized Contact | COLLIS BENTON TEMPLE Chief Executive Officer 225-383-9139 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2012-01-31 |
Last Update Date | 2012-01-31 |