NPI | 1710366885 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY BOUDREAUX Owner 985-231-9791 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: LA OTT.Z10954) |
Enumeration Date | 2015-05-22 |
Last Update Date | 2015-05-22 |