| NPI | 1447497425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA DENICE HARRIS Medical Supplier 318-283-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |