National Provider Identifier Database

FOUNDATION RECOVERY CENTER
Rehabilitation, Substance Use Disorder


Contact Information

FOUNDATION RECOVERY CENTER
2419 SOUTHERN AVE
SHREVEPORT, LA71104-2969
Phone: 318-227-1475
Fax: 318-227-1472
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Addiction (Substance Use Disorder) 101YA0400X
Adult Mental Health 261QM0850X
Recovery Care 261QR0800X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for FOUNDATION RECOVERY CENTER

NPI Number 1649944117
Legal business name
LBN
FOUNDATION RECOVERY CENTER
Authorized official TARA DUPREE - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 08/06/2021
Last updated 03/10/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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