| NPI | 1346515699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE DIANE SCHAFFNER Counselor Ii 318-632-2010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 475) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |