NPI 1285699629

Department of Health and Hospitals

Organisation Substance Abuse Rehabilitation Facility West Monroe, LA

Practice location

Address: 1416 Natchitoches St, West Monroe, LA 71292-3751
Phone: (318) 362-5430
Fax: (318) 362-5428

Authorised official

Name: Phyllis Jerri Parks
Title: Oad/Regional Administrator
Phone: (318) 362-3270

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 286 (LA)

Other Substance Abuse Rehabilitation Facility providers in Louisiana →

Registry record

NPI: 1285699629
Entity type: Organization
NPI issued: 19 Apr 2006
Record last updated: 25 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.