| NPI | 1255031423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEE FRANKS Administrator/Authorized Agent 318-355-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-14 |