| 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 |