Organization · Type 2 NPI
Lafayette Intensive Outpatient, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Lafayette, LA
NPI number
1942070792
Active
Practice location
219 E Verot School Rd
Lafayette, LA 70508-3311
Mailing address
PO Box 81098
Lafayette, LA 70598-1098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Group Psychotherapy Psychologist | 103TP2701X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1942070792
Lafayette Intensive Outpatient, LLC's National Provider Identifier is 1942070792, issued on Jan 3, 2024. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Lafayette, LA. The record was last updated on Nov 19, 2024.