Organization
KEYS FOR SOBER LIVING
Active
Parent organization
OPIATE REPLACEMENT THERAPY CENTERS OF AMERICA, INC.
Other names
Opiate Replacement Therapy Centers of America, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPIATE REPLACEMENT THERAPY CENTERS OF AMERICA, INC.
Authorized official
MR. RICHARD DE LA HOUSSAYE SR. (PROGRAM SPONSOR)
(337) 364-9094
Entity
Organization
Contact information
Practice address
132 W SAINT PETER ST, NEW IBERIA, LA 70560-3743
(337) 364-9094
(337) 364-9071
Mailing address
132 W SAINT PETER ST, NEW IBERIA, LA 70560-3743
(337) 364-9094
(337) 364-9071
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
353, 353A
LA
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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