| NPI | 1629478391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA DUCHARME Ownwer 337-250-8704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MD w15641921) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 10514732#uae52) |
| 171M00000X Case Manager/Care Coordinator (Licence: KY 0893453) | |
| 171M00000X Case Manager/Care Coordinator (Licence: VA t0581886) | |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |