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FOUNDATION RECOVERY CENTER

Rehabilitation, Substance Use Disorder

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Contact Information

FOUNDATION RECOVERY CENTER
2419 SOUTHERN AVE
SHREVEPORT, LA  71104-2969
 Phone: 318-227-1475
 Fax: 318-227-1472
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

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 # 1649944117
LBN Legal business name FOUNDATION RECOVERY CENTER
Authorized official TARA DUPREE - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/06/2021
Last updated 03/10/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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