| NPI | 1952935983 |
|---|---|
| Doing Business As | BROKEN WINGS RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | BECKY PARKS Administrator 318-538-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |