| NPI | 1740442169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY LEWIS Clinic Supervisor 318-362-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |