| NPI | 1114655834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WARNER Owner/Administrator 985-276-4165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2025-01-03 |