| NPI | 1548592918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA J BANNISTER Clinical Director 225-927-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: LA 432) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |