| NPI | 1013350180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANI TRAUPMAN Director 225-450-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: LA SA0011074) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2020-07-09 |