| NPI | 1457593147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY FOSTER GARDNER Owner 225-667-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 2656940001) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |