| NPI | 1871705566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOTTIE E ETHERIDGE Executive Director 318-649-2584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: LA CM2302) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |