| NPI | 1407036015 |
|---|---|
| Other Name | ACTIVEPCA |
| Entity Type | Organization |
| Authorized Contact | ALICE N MWAKITAWA Administrator 337-948-9067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2008-06-24 |