| NPI | 1366724759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE PAUL BAUDOIN Administrator 337-234-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |