| NPI | 1912204314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA VARGAS Office Manager 337-475-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA MD11215R) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2021-08-25 |