| NPI | 1861503922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN STEWART BRITTON Owner/Social Worker 225-928-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: LA 4724) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |