NPI 1386601425

Department of Health and Hospitals

Organisation Substance Abuse Rehabilitation Facility Shreveport, LA

Practice location

Address: 6240 Greenwood Rd, Shreveport, LA 71119-8413
Phone: (318) 632-2010
Fax: (318) 632-2055

Authorised official

Name: George Sewell
Title: Facility Manager
Phone: (318) 632-2010

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 012 (LA)

Other Substance Abuse Rehabilitation Facility providers in Louisiana →

Registry record

NPI: 1386601425
Entity type: Organization
NPI issued: 1 May 2006
Record last updated: 2 Nov 2007

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.