| NPI | 1497487946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE KILPATRICK Founder 225-326-4368 |
| 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 | 2026-03-10 |