NPI | 1912473752 |
---|---|
Entity Type | Organization |
Authorized Contact | JEWEL M MAY Administrator 318-235-0503 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2018-10-19 |
Last Update Date | 2018-10-19 |