| NPI | 1528564184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONAH WILLIAMS President 318-344-9145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |