| NPI | 1538314315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE MAE YOUNG Manager 337-945-4752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: LA 377) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |