NPI | 1548538804 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY PFLIPSEN Executive Director 318-484-6778 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 214) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2011-12-01 |