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COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA

Substance Abuse Disorder Rehabilitation Facility

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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Contact Information

COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
2000 FAIRFIELD AVENUE
SHREVEPORT, LA  71104
 Phone: 318-222-8511
 Fax: 318-212-5565
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

 324500000X
 

Mental Health (Including Community Mental Health Center)

 261QM0801X B4[14] Community Mental Health Center
 

Rehabilitation, Substance Use Disorder

 261QR0405X
Indicates primary specialty

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

NPI # 1699955815
LBN Legal business name COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
Authorized official JANET MILLER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2007
Last updated 07/11/2024 - More than a year ago
Identifiers
LA License # 238
LA Medicaid 3571455
LA Medicaid 3571471
LA Other 1891152328 CLINIC NPI
LA Other 1902643455 CLINIC NPI
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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