| NPI | 1366512931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE L HICKMAN Executive Director 337-462-2513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: LA ADC 2569) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |