| 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 |