| NPI | 1457796336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE ROBERTSON Administrative Assistant 337-351-5341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX TX-10113-M) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |