| NPI | 1356454383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE GAIL HARRELL President/CEO 337-433-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: LA 6895) |
| Additional Taxonomies | 251C00000X (Licence: LA 6873) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2011-09-27 |