| NPI | 1649797481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN P STUMON Office Manager 318-344-4063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2018-05-25 |