NPI | 1619760618 |
---|---|
Entity Type | Organization |
Authorized Contact | JARROD ADAMS Regional Vice President 318-949-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2025-05-23 |
Last Update Date | 2025-05-23 |