institution
Council On Alcoholism And Drug Abuse Of Northwest Louisiana
Children's Substance Abuse Rehabilitation Facility in Shreveport, Louisiana
NPI 1699955815

Council On Alcoholism And Drug Abuse Of Northwest Louisiana is a Children's Substance Abuse Rehabilitation Facility based in Shreveport, LA and is specialized in Substance Abuse Treatment, Children. Council On Alcoholism And Drug Abuse Of Northwest Louisiana practices in Shreveport, LA. The NPI Number for Council On Alcoholism And Drug Abuse Of Northwest Louisiana is 1699955815 and holds a License No. (Louisiana).

The current practice location address for Council On Alcoholism And Drug Abuse Of Northwest Louisiana is 2000 Fairfield Avenue, Shreveport, LA and can be reached out via phone at 318-222-8511 and via fax at 318-212-5565. You can also correspond with Council On Alcoholism And Drug Abuse Of Northwest Louisiana through the mailing address at 2000 FAIRFIELD AVENUE, SHREVEPORT, LA - 71104 (mailing address contact number: 318-222-8511).

Location: 2000 Fairfield Avenue, Shreveport, LA, 71104
institution
Provider Profile Details
NPI Number
1699955815
Provider Name
Council On Alcoholism And Drug Abuse Of Northwest Louisiana
Credential
Provider Entity Type
Organization
Address
2000 Fairfield Avenue, Shreveport, LA, 71104
Phone Number
318-222-8511
Fax Number
318-212-5565
Provider Enumeration Date
11/05/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891152328 01 LA CLINIC NPI
3571455 05 LA
3571471 05 LA
3571463 05 LA
institution
Provider Business Practice Location Address Details
Address
2000 Fairfield Avenue
City
State
Zip
71104
Phone Number
318-222-8511
Fax Number
318-212-5565
person
Provider Business Mailing Address Details
Address
2000 Fairfield Avenue
City
State
Zip
71104
Phone Number
318-222-8511
Fax Number
318-212-5565
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
238 (Louisiana)
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.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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