| NPI | 1578826137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KARLE Chief Executive Officer 318-352-9349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: LA 6318) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253J00000X Foster Care Agency (Licence: LA 13372) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |