NPI | 1336255298 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI ELIZABETH VIDRINE-PARKS Staff Physicial 337-363-6869 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 17683) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2020-08-22 |