| NPI | 1578782348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENARD C HALLEY Executive Director 318-283-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: LA 2493) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-09-16 |