NPI | 1528808953 |
---|---|
Entity Type | Organization |
Authorized Contact | ED G MURY Compliance Officer 337-704-1569 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-05-31 |
Last Update Date | 2025-03-27 |