Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Case Management |
251B00000X |
| NPI Number | 1649538398 |
| LBN Legal business name | NORTHEAST LOUISIANA SUBSTANCE ABUSE |
| Authorized official | SIERRA TALBERT - (COUNSELOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/01/2012 |
| Last updated | 10/25/2023 - About 3 years ago |
| Identifiers | n/a |
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