Organization · Type 2 NPI

Peacock Addiction Treatment & Healing (path) Center LLC

Substance Use Disorder Rehabilitation Clinic/Center · Rayville, LA

NPI number 1942033808 Active

Practice location

1401 Louisa St
Rayville, LA 71269-3245

Fax (318) 301-6826

Mailing address

437 Overlan Stage Rd
Rayville, LA 71269-7655

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401XNone listed
Clinic/Center 261Q00000XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

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About NPI 1942033808

Peacock Addiction Treatment & Healing (path) Center LLC's National Provider Identifier is 1942033808, issued on Aug 24, 2024. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Rayville, LA. The record was last updated on Aug 24, 2024.