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Foundation Recovery Center
Substance Abuse Rehabilitation Facility in Shreveport, Louisiana
NPI 1649944117

Foundation Recovery Center is a Substance Abuse Rehabilitation Facility based in Shreveport, LA. Foundation Recovery Center practices in Shreveport, LA. The NPI Number for Foundation Recovery Center is 1649944117 and holds a License No. (Louisiana).

The current practice location address for Foundation Recovery Center is 2419 Southern Ave, Shreveport, LA and can be reached out via phone at 318-227-1475 and via fax at 318-227-1472.

Location: 2419 Southern Ave, Shreveport, LA, 71104-2969
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649944117
Provider Name
Foundation Recovery Center
Credential
Provider Entity Type
Organization
Address
2419 Southern Ave, Shreveport, LA, 71104-2969
Phone Number
318-227-1475
Fax Number
318-227-1472
Provider Enumeration Date
08/06/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2419 Southern Ave
City
Shreveport
State
Louisiana
Zip
71104-2969
Phone Number
318-227-1475
Fax Number
318-227-1472
person
Provider Business Mailing Address Details
Address
2419 Southern Ave
City
Shreveport
State
Louisiana
Zip
71104-2969
Phone Number
318-227-1475
Fax Number
318-227-1472
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Recovery Care
Taxonomy
261QR0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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