| NPI | 1720690811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W POPE Chief Operations Officer 225-270-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-12-07 |