| NPI | 1073122420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA RILEY MCEACHARN Administrator 318-303-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2022-02-17 |