| NPI | 1104140078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA BALLARD CAMP Administrator 225-667-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 242) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |