| NPI | 1316437866 |
|---|---|
| Former Legal Business Name | LIFE CHOICE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHIAUS GUIDRY Owner 337-356-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |