| 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 | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: LA 2203783342) | |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2024-07-09 |