| NPI | 1639730583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS ANTOINE LALONDE Managing Member 318-451-3989 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 1041C0700X Social Worker Clinical | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2020-06-27 |