| NPI | 1629529268 |
|---|---|
| Doing Business As | DEPENDENCY PAIN TREATMENT CENTERS |
| Entity Type | Organization |
| Authorized Contact | DAN FORMAN President/CEO 504-535-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |