# CENTRAL LOUISIANA RESOURCE CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PINECREST DEVELOPMENTAL CENTER
- **Other names:** Pinecrest Developmental Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528365517
- **Legal business name:** PINECREST DEVELOPMENTAL CENTER
- **Authorized official:** MR. PAXTON E OLIVER II MS (ADMINISTRATOR)
- **Authorized official phone:** (318) 487-5395

## Contact information

- **Practice address:** 2006 GUS KAPLAN DR, ALEXANDRIA, LA 71301-3376
- **Practice address phone:** (318) 487-5395
- **Practice address fax:** (318) 487-5463
- **Mailing address:** 2006 GUS KAPLAN DR, ALEXANDRIA, LA 71301-3376
- **Mailing address phone:** (318) 487-5395
- **Mailing address fax:** (318) 487-5463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 991000271 | LA | Yes |

## Other

- **Enumeration date:** 02/28/2011
- **Last updated:** 02/28/2011