| NPI | 1972968949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA EACKLES Manager 225-439-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |