NPI | 1326002155 |
---|---|
Doing Business As | RED RIVER MEDICALLY SUPPORTED DETOX |
Entity Type | Organization |
Authorized Contact | VICKI G CANNELLA Inpatient Facility Manager 318-484-6661 |
Organization Subpart ? | No |
Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: LA 162) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2020-08-22 |