| NPI | 1245468826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM BRENNAN COO 318-279-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 448) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |