Organization
ST. MARY ASSOCIATION FOR RETARDED CITIZENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONITA PELTIER (EXECUTIVE DIRECTOR)
(337) 836-9445
Entity
Organization
Contact information
Practice address
100 MISSOURI STREET, CENTERVILLE, LA 70522
(337) 836-9445
Mailing address
PO BOX 3, CENTERVILLE, LA 70522-0003
(337) 836-9445
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
ADC2242
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1957488
—
LA
Enumeration date
05/18/2007
Last updated
08/22/2020
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