| NPI | 1306387378 |
|---|---|
| Former Legal Business Name | IBHP, LLC |
| Entity Type | Organization |
| Authorized Contact | STACEY WILLSON Clinical Director 337-412-8048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-05-08 |