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COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA

Rehabilitation, Substance Use Disorder

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Contact Information

COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
2000 FAIRFIELD AVE
SHREVEPORT, LA  71104-2002
 Phone: 318-222-8511
 Fax: 318-222-3273
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

 261QR0405X
 

Clinic/Center

 261Q00000X
 

Community/Behavioral Health

 251S00000X
Indicates primary specialty

NPI Profile & details for COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA

NPI # 1891152328
LBN Legal business name COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
Authorized official JANET MILLER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/28/2016
Last updated 07/15/2024 - More than a year ago
Identifiers
LA License # 276
LA Medicaid 3571455
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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