| NPI | 1699726299 |
|---|---|
| Other Name | HAMMOND ADDICTIVE DISORDERS CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIE WALLACE Clinic Manager 985-543-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 023) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-02-19 |