| NPI | 1881994408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOOKER T AMOS Deputy Director 337-315-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: TX 0000024) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |