| NPI | 1942682083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT THOMPSON Owner/Occupational Therapist 504-628-4765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 019746-1) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 019746-1) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |