| NPI | 1396285581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL A GOMEZ CEO 225-933-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |