| NPI | 1447411418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S JACKSON Owner 985-643-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: LA 12542) |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2008-06-22 |