| NPI | 1932477601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY L. FLETCHER Owner 337-886-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 493) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-30 |