| NPI | 1467821330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WULF THOMA Owner 337-233-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA OTT200812) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |