NPI | 1558431106 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY L ESTES Executive Director 337-292-0619 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 251B00000X Case Management (Licence: LA CM 4387) |
251S00000X | |
261QD0000X Clinic/Center, Dental | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2006-11-09 |
Last Update Date | 2024-08-03 |