NPI | 1063536316 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLAIM R RICHARD Adminstrator 337-233-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 308) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |