| NPI | 1679746770 |
|---|---|
| Doing Business As | SLIDELL ADDICTIVE DISORDERS CLINIC |
| Entity Type | Organization |
| Authorized Contact | BERNICE WILLIAMS Clinic Manager 985-646-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: LA 387) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2009-03-25 |