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
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
Other substance use disorder rehabilitation clinic/center providers in Rayville
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.