| NPI | 1821623315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY TALBERT Credentialing Supervisor 337-855-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2023-12-05 |