| NPI | 1932773173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON BARRILLEAUX STEVENS Owner / Manager 985-351-1394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-06-16 |