| NPI | 1124723580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTRICE HURST Administrator 225-266-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 251S00000X | |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2024-05-23 |