| NPI | 1790870574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEKOAH BOATNER CEO 225-343-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-09-22 |