NPI | 1922370782 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT DAMIEN GORMAN Executive Director 985-876-0490 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 113) |
Enumeration Date | 2012-02-08 |
Last Update Date | 2012-02-08 |