Organization
5TH DIMENSION RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JACQUE DELANEY (CEO)
(337) 534-5475
Entity
Organization
Contact information
Practice address
630 WILSON ST, LAFAYETTE, LA 70503-2154
(337) 534-5475
Mailing address
113 EVELYN DR, LAFAYETTE, LA 70506-2101
(337) 534-5475
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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