| NPI | 1366987687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSIUS ALLEN Program Director 225-778-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: LA 830351256) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |