NPI | 1578235941 |
---|---|
Doing Business As | THE MANSION AT COLLINE ROUGE |
Entity Type | Organization |
Authorized Contact | WHITLEY LEWIS Owner 318-334-7441 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2021-10-04 |
Last Update Date | 2023-07-20 |