| Opiate Replacement Therapy Centers Of America, Inc. | |
|
132 W Saint Peter St New Iberia LA 70560-3743 | |
| (337) 364-9094 | |
| (337) 364-9071 |
| Full Name | Opiate Replacement Therapy Centers Of America, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 132 W Saint Peter St, New Iberia, Louisiana |
| Authorized Official Name and Position | Richard De La Houssaye (PROGRAM SPONSOR) |
| Authorized Official Contact | 3373649094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opiate Replacement Therapy Centers Of America, Inc. 132 W Saint Peter St New Iberia LA 70560-3743 Ph: (337) 364-9094 | Opiate Replacement Therapy Centers Of America, Inc. 132 W Saint Peter St New Iberia LA 70560-3743 Ph: (337) 364-9094 |
| NPI Number | 1326298522 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 09/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326298522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 353, 353A (Louisiana) | Primary |
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