| NPI | 1184044430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP SEAN WENDELL CEO 225-810-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 261QM0801X |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2024-04-25 |