| NPI | 1053775841 |
|---|---|
| Doing Business As | LOURDES |
| Entity Type | Organization |
| Authorized Contact | SUZANNE LARAYNE KIEFFER Co Occuring Therapist 5094-603-3664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: WA CG60137900) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |