NPI | 1386601425 |
---|---|
Doing Business As | PINES TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | GEORGE SEWELL Facility Manager 318-632-2010 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 012) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2007-11-02 |