| NPI | 1043780851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNY E. GAMBLE Owner 318-251-4659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2025-03-19 |