Opiate Replacement Therapy Centers of America, Inc.
NPI #1487804779 in Breaux Bridge, Louisiana
Provider Information
- NPI Number
- 1487804779
- Entity Type
- Organization
- Organization Name
- Opiate Replacement Therapy Centers of America, Inc.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 24, 2008
- Last Updated
- Sep 24, 2008
Practice Location
- Address
- 2013 REES ST
- City
- Breaux Bridge
- State
- Louisiana
- ZIP Code
- 70517-4213
- Phone
- (337) 332-4878
Authorized Official
- Name
- MR. RICHARD DE LA HOUSSAYE, MPA
- Title
- PROGRAM SPONSOR
- Phone
- (337) 332-4878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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