| NPI | 1598037079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN DANIEL Executive Director 318-323-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 421) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-01-31 |