NPI | 1881974749 |
---|---|
Doing Business As | CENTRAL LA RESOURCE CENTER |
Entity Type | Organization |
Authorized Contact | PAXTON ENIS OLIVER Mr/Dd Regional Associate Administer 318-487-5395 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2011-08-24 |
Last Update Date | 2011-08-24 |