| NPI | 1588147045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE D NEWTON CEO/Owner 318-820-6857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |