| NPI | 1528507068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN M SMITH Administrator 337-936-9197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |