| NPI | 1922275148 |
|---|---|
| Doing Business As | TLC |
| Entity Type | Organization |
| Authorized Contact | JACQUE LEE ROBINSON-RICHARD Executive Director 337-303-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MN 1010423) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |