| NPI | 1609755404 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AHMED ODEYEMI Program Manager 318-436-1833 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness | 
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services | 
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 251B00000X Case Management | |
| Enumeration Date | 2025-08-27 | 
| Last Update Date | 2025-08-27 |