| Peacock Addiction Treatment & Healing (path) Center Llc | |
|
1401 Louisa St Rayville LA 71269-3245 | |
| (318) 303-4632 | |
| (318) 301-6826 |
| Full Name | Peacock Addiction Treatment & Healing (path) Center Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1401 Louisa St, Rayville, Louisiana |
| Authorized Official Name and Position | Jo Lynn Bennett (OWNER) |
| Authorized Official Contact | 3183345825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peacock Addiction Treatment & Healing (path) Center Llc 437 Overlan Stage Rd Rayville LA 71269-7655 Ph: (318) 334-5825 | Peacock Addiction Treatment & Healing (path) Center Llc 1401 Louisa St Rayville LA 71269-3245 Ph: (318) 303-4632 |
| NPI Number | 1942033808 |
|---|---|
| Provider Enumeration Date | 08/24/2024 |
| Last Update Date | 08/24/2024 |
| Certification Date | 08/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942033808 | NPI | - | NPPES |
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