| NPI | 1477973857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY GENE AMONS Owner 318-229-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 1857108-001) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |