NPI | 1992042634 |
---|---|
Doing Business As | DENHAM SPRINGS ADDICTIVE DISORDERS |
Entity Type | Organization |
Authorized Contact | DAVID P DICKSON Owner 225-243-5573 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 576) |
Enumeration Date | 2013-01-15 |
Last Update Date | 2013-01-15 |