NPI | 1497007694 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID A. LEGENDRE CEO 337-456-9111 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 2203781178) |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2012-10-11 |
Last Update Date | 2013-04-29 |