| NPI | 1710149810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANGELA DIANNE DOBBINS Counsleor 4 318-362-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |