| NPI | 1760437131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP SEAN WENDELL CEO 225-810-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: LA 692) |
| Additional Taxonomies | 261QM0801X |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-11-13 |