| NPI | 1588792410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN H GONZALES Executive Director 985-369-2908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion (Licence: LA SIl 2351) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |