NPI | 1942758487 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN THOMAS Clinical Director 318-742-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-09-13 |
Last Update Date | 2016-09-13 |