| NPI | 1437196946 |
|---|---|
| Doing Business As | NORTHLAKE ADDICTIVE DISORDERS CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBIN JOUBERT Clinic Manager 985-871-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: LA 233) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |