| 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 |