| NPI | 1972313708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KELLEY Owner 318-331-0184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |