| NPI | 1912186131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA FAYE BURNOM President 318-221-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-12-05 |