NPI | 1568684645 |
---|---|
Entity Type | Organization |
Authorized Contact | DOTTIE E ETHERIDGE Executive Director 318-649-2584 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: LA cm2302) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-08-22 |