| NPI | 1902105414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA LANETTE PREYAR Chief Excutive Officer 225-953-0356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: LA ADC011111) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |