| NPI | 1497487946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P OAKLEY Founder 225-247-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 208D00000X General Practice |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2022-09-22 |