| NPI | 1952093718 |
|---|---|
| Doing Business As | MAGNOLIA RECOVERY CLINIC |
| Former Legal Business Name | MAGNOLIA RECOVERY |
| Entity Type | Organization |
| Authorized Contact | AMANDA VEULEMAN Operations Director 318-615-9006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2024-04-18 |