Keys for Sober Living
NPI #1326298522 in New Iberia, Louisiana
Provider Information
- NPI Number
- 1326298522
- Entity Type
- Organization
- Organization Name
- Keys for Sober Living
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OPIATE REPLACEMENT THERAPY CENTERS OF AMERICA, INC.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 24, 2008
- Last Updated
- Sep 24, 2008
Practice Location
- Address
- 132 W SAINT PETER ST
- City
- New Iberia
- State
- Louisiana
- ZIP Code
- 70560-3743
- Phone
- (337) 364-9094
Authorized Official
- Name
- MR. RICHARD DE LA HOUSSAYE SR.
- Title
- PROGRAM SPONSOR
- Phone
- (337) 364-9094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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