| NPI | 1992964498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL JOHNSON Director 225-381-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: LA RC 6959) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |