Organization
OPIATE REPLACEMENT THERAPY CENTERS OF AMERICA, INC.
Active
Organization
OPIATE REPLACEMENT THERAPY CENTERS OF AMERICA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD DE LA HOUSSAYE MPA (PROGRAM SPONSOR)
(337) 332-4878
Entity
Organization
Contact information
Practice address
2013 REES ST, BREAUX BRIDGE, LA 70517-4213
(337) 332-4878
(337) 332-4866
Mailing address
2013 REES ST, BREAUX BRIDGE, LA 70517-4213
(337) 332-4878
(337) 332-4866
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
244
LA
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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