| NPI | 1700173853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN THIBODEAUX Director 504-450-1182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: LA 971) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |