Organization
KEYS FOR SOBER LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WILSON PH.D. (CLINICAL DIRECTOR)
(225) 803-2963
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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
433
LA
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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