| NPI | 1528755428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARICA JOHNSON Owner 318-470-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-27 |