| NPI | 1750348462 |
|---|---|
| Other Name | PINES TREATMENT CENTER CONTINUING CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | GEORGE SEWELL Facility Manager 318-632-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: LA 012) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |