| NPI | 1861231664 |
|---|---|
| Former Legal Business Name | POWER MEDICAL SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | MARDOSHA PEEK CEO 318-751-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |