NPI | 1417199068 |
---|---|
Entity Type | Organization |
Authorized Contact | LEROY SCOTT Chief Executive Officer 225-405-5895 |
Organization Subpart ? | No |
Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
Additional Taxonomies | 251S00000X (Licence: LA 4081) |
261QM1300X Clinic/Center, Multi-Specialty (Licence: LA MST01) | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: LA 2203784003) | |
Enumeration Date | 2009-03-28 |
Last Update Date | 2022-10-31 |