| NPI | 1417109380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY JACKSON Owner 318-670-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: LA 220378109) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2012-08-07 |