NPI | 1912044330 |
---|---|
Doing Business As | GADSDEN STREET COMMUNITY HOME |
Entity Type | Organization |
Authorized Contact | JAMES E. RICHARDSON C.E.O. 318-445-6470 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: LA 959) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2020-08-22 |