NPI | 1255937199 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD W POPE Partner 225-270-8068 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-12-07 |
Last Update Date | 2020-12-07 |