| NPI | 1518509579 |
|---|---|
| Doing Business As | STREET SMART RECOVERY |
| Entity Type | Organization |
| Authorized Contact | JEFF RAYBON Member Manager 225-439-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |