| NPI | 1932395340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA JACKSON Owner 318-324-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: LA 10403) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2017-04-28 |