Organization
EDGEFIELD RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM BRENNAN (COO)
(318) 279-2751
Entity
Organization
Contact information
Practice address
10631 HWY 71 SOUTH, CHENEYVILLE, LA 71325
(318) 279-2751
(318) 279-2755
Mailing address
PO BOX 407, CHENEYVILLE, LA 71325-0407
(318) 279-2751
(318) 279-2755
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
448
LA
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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