| NPI | 1528558020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL JOHNSON Board 225-773-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist (Licence: LA 2203781925) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |