| NPI | 1205704962 |
|---|---|
| Doing Business As | ACTIVE RECOVERY RETREAT |
| Entity Type | Organization |
| Authorized Contact | TARA D WOODS CFO 318-423-7217 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-24 |