NPI | 1982493698 |
---|---|
Doing Business As | FREEDOM RECOVERY IOP |
Entity Type | Organization |
Authorized Contact | DAVID R RODGERS Owner 318-426-9379 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2025-05-01 |
Last Update Date | 2025-09-23 |