| NPI | 1023459559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE COLLINS Treatment Programs Manager 337-236-3937 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 2203781589) |
| Additional Taxonomies | 251S00000X (Licence: LA 2203781589) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |