| NPI | 1013547504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP SEAN WENDELL CEO 225-810-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-12-24 |