| NPI | 1033984430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WARNER Owner 337-855-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2024-07-15 |