| NPI | 1427418243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARASA ANDERSON Owner 985-785-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: LA 2203781115) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |