Whalio Doctors

NPI 1497007694

Victory Addiction Recovery Center

Organisation Substance Abuse Rehabilitation Facility Lafayette, LA

Practice location

Address
111 Liberty Ave, Lafayette, LA 70508-6821
Phone
(337) 456-9111
Fax
(337) 456-9131

Authorised official

Name
David A. Legendre
Title
Ceo
Phone
(337) 456-9111

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 2203781178 (LA)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1497007694
Entity type
Organization
NPI issued
11 Oct 2012
Record last updated
29 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.