| NPI | 1609227099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE S STILLS Manager 318-294-1429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |