| NPI | 1285251785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG COMANCHE C.I.T. 318-789-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2024-03-26 |