| NPI | 1528227600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON E. BARRILLEAUX President, CFO 985-606-0341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: LA 1749936001) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: LA 1749936001) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: LA 1749936001) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: LA 1749936001) | |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 1749936001) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2014-12-29 |