| NPI | 1871766485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBINETT WEBB Executive Director 318-681-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization (Licence: LA 9632) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2017-12-19 |