| NPI | 1982901104 |
|---|---|
| Doing Business As | LAFAYETTE SENIOR CLUB |
| Entity Type | Organization |
| Authorized Contact | DONNA MCPHERSON Boad Member 318-445-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |