| NPI | 1053119636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANNE MAZZANTI Owner 318-380-2486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |