Organization · Type 2 NPI

Foundation Recovery Center

Substance Use Disorder Rehabilitation Clinic/Center · Shreveport, LA

NPI number 1649944117 Active

Practice location

2419 Southern Ave
Shreveport, LA 71104-2969

Fax (318) 227-1472

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed
Recovery Care Clinic/Center 261QR0800XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1649944117

Foundation Recovery Center's National Provider Identifier is 1649944117, issued on Aug 6, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Shreveport, LA. The record was last updated on Mar 10, 2022.