| NPI | 1619206026 |
|---|---|
| Doing Business As | ALTERNATIVE CONCEPT CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | WAYNE WALLACE PATRICK Director 318-388-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 15252) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |