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 |