| NPI | 1366820706 |
|---|---|
| Former Legal Business Name | PECAN HAVEN ADOLESCENT ADDICTION CENTER |
| Entity Type | Organization |
| Authorized Contact | AMANDA PEELER FONTENOT Business Manager 318-600-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 220382709) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2016-09-14 |