NPI | 1699955815 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM ROSE Executive Director 318-222-8511 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
324500000X Substance Abuse Rehabilitation Facility (Licence: LA 238) | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2007-11-05 |
Last Update Date | 2023-01-12 |