NPI | 1326875931 |
---|---|
Entity Type | Organization |
Authorized Contact | KATELYN MELANCON Program Coordinator 225-468-6287 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Enumeration Date | 2024-09-17 |
Last Update Date | 2025-01-17 |