| NPI | 1346415643 |
|---|---|
| Other Name | FREE INDEED INTENSIVE OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | TONJA MYLES CEO 225-924-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: LA 315) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 315) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2009-03-19 |