Organization
ACADIANA OUTREACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE-ALYCE DAVIS B.S., CAC (COUNSELOR)
(337) 237-7618
Entity
Organization
Contact information
Practice address
625 N UNIVERSITY, LAFAYETTE, LA 70502
(337) 237-7618
(337) 237-7650
Mailing address
PO BOX 2747, LAFAYETTE, LA 70502
(337) 237-7618
(337) 237-7650
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
008597939
LA
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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