| NPI | 1740650647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORINE KESSEE SAMUELS Administrator 318-938-5679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 1257) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2018-06-20 |