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Organization

POWER HOUSE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CODY GAUTREAUX (DIRECTOR)
(225) 647-8277
Entity
Organization

Contact information

Practice address
715 W WORTHY ST, GONZALES, LA 70737-3844
(225) 647-8277
(225) 647-2446
Mailing address
715 W WORTHY ST, GONZALES, LA 70737-3844
(225) 647-8277
(225) 647-9277

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
01/12/2012
Last updated
01/18/2012
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