| NPI | 1649716671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALEXANDER MOTO President/CEO 318-625-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2017-01-14 |
| Last Update Date | 2024-07-22 |