| NPI | 1992867063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HELEN BORCK Program Director 225-927-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: LA CM4201) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |