| NPI | 1801867833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY DEBEVEC Executive Director 318-448-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2020-08-22 |