| NPI | 1972785590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE ST. ROMAIN Executive Director 318-346-2540 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305S00000X Point of Service (Licence: LA 14061) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2015-05-26 |