| NPI | 1407308851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENDA ARMSTRONG Executive Director 318-218-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: LA 3174) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: LA 3174) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |