NPI | 1417100801 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA DRAKE Executive Director 337-855-9773 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA SA0007829) |
Enumeration Date | 2008-10-29 |
Last Update Date | 2008-10-29 |