| NPI | 1992965040 |
|---|---|
| Doing Business As | ACTIVE DAY OF LAFAYETTE |
| Entity Type | Organization |
| Authorized Contact | KRIS W BALDOCK CEO President 443-548-2200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |