NPI | 1750345799 |
---|---|
Doing Business As | LAFAYETTE ADDICTIVE DISORDERS CLINIC |
Entity Type | Organization |
Authorized Contact | JOYCE M BEN Oad Regional Administrator 337-262-5870 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 005) |
Enumeration Date | 2006-04-14 |
Last Update Date | 2020-08-22 |