NPI | 1114655834 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA WARNER Owner/Administrator 985-276-4165 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
276400000X Rehabilitation, Substance Use Disorder Unit | |
Enumeration Date | 2022-08-10 |
Last Update Date | 2023-12-07 |