| NPI | 1598597999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVLON JOHNSON President 225-266-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |