| NPI | 1659814697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN FISHER Administrator 318-614-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: LA 2203782807) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2016-11-23 |