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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