| 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 |