Organization
DEPARTMENT OF HEALTH AND HOSPITALS
Active
Other names
New Iberia Addictive Disorders Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL LEGER CFO (CHIEF FINANCIAL OFFICER)
(337) 262-4189
Entity
Organization
Contact information
Practice address
611 W ADMIRAL DOYLE DR, NEW IBERIA, LA 70560-6408
(337) 373-0002
(337) 373-0129
Mailing address
611 W ADMIRAL DOYLE DR, NEW IBERIA, LA 70560-6408
(337) 373-0002
(337) 373-0129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
292
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246843
MEDICARE PTAN
LA
Enumeration date
06/07/2006
Last updated
05/28/2014
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