NPI | 1396702866 |
---|---|
Entity Type | Organization |
Authorized Contact | DOROTHY NELSON CEO 225-355-2498 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: LA 7258) |
Additional Taxonomies | 385H00000X Respite Care (Licence: LA 7254) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2025-09-11 |