Organization · Type 2 NPI

Department of Health and Hospitals

Substance Use Disorder Rehabilitation Clinic/Center · Shreveport, LA

NPI number 1750348462 Active

Practice location

6240 Greenwood Rd
Shreveport, LA 71119-8413

Fax (318) 632-2055

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X012 (LA)

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

15 other providers at this address

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About NPI 1750348462

Department of Health and Hospitals's National Provider Identifier is 1750348462, issued on Apr 27, 2006. 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 Aug 22, 2020.