NPI | 1306263132 |
---|---|
Doing Business As | POSITIVE DIRECTION IOP |
Entity Type | Organization |
Authorized Contact | BEVERLY JOHNSON Administrator 318-730-1035 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2014-03-18 |
Last Update Date | 2014-03-18 |