| NPI | 1104798131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HENRY Administrator 337-280-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |