| NPI | 1366687758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLISS F THOMAS President 318-709-1862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor Pastoral |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor School | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2050X Respite Care Respite Care Camp | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| Enumeration Date | 2008-12-13 |
| Last Update Date | 2016-06-15 |