NPI | 1811579980 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILLIP SEAN WENDELL CEO 225-810-4040 |
Organization Subpart ? | No |
Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
Enumeration Date | 2021-04-27 |
Last Update Date | 2021-04-27 |