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
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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