| NPI | 1205191525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA BOUDREAUX ADAMS Program Director 985-395-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 211) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |