| NPI | 1346830171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRA HENDERSON Billing Manager 504-516-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2023-09-06 |