| NPI | 1649844838 |
|---|---|
| Doing Business As | NOLA DETOX |
| Entity Type | Organization |
| Authorized Contact | DANIEL FORMAN Administrator 504-975-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2022-01-28 |