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 |