NPI | 1346707080 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE ROUSSEL Owner 337-703-0880 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-03-01 |
Last Update Date | 2019-03-01 |