| NPI | 1740525831 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MARGARET JOHNSON PROVOST Certified Social Worker (Csw) 985-687-4703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |