NPI | 1134638174 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS CLIFTON ESTIS Clinical Director/Co Owner 318-235-9735 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 2203783342) |
Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: LA 2203783342) |
Enumeration Date | 2017-09-21 |
Last Update Date | 2023-11-17 |