NPI | 1588877567 |
---|---|
Doing Business As | UNIVERSAL REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | TIFFANY RENE' WYATT Administrative Director 318-342-9979 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA ADC 10106) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2023-06-21 |