| NPI | 1336688878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L TALBERT Credentialing Administrator 337-855-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2023-04-24 |