NPI | 1609149103 |
---|---|
Other Name | AB HORN GROUP HOME |
Entity Type | Organization |
Authorized Contact | COLLIS BENTON TEMPLE Chief Executive Officer 225-383-9139 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2012-02-14 |
Last Update Date | 2021-10-18 |