| NPI | 1487373973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SMITH Administration 337-254-6809 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |