| NPI | 1558932400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SULLIVAN Executive VP 337-255-7438 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-07-01 |