Organization
CENTERPOINT PINES TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET DIANNE RICHARDSON LAC, B-LPC-S, LMHP (COUNSELOR)
(318) 632-2010
Entity
Organization
Contact information
Practice address
6325 BOCAGE DR, SHREVEPORT, LA 71119-6228
(318) 636-3113
Mailing address
6325 BOCAGE DR, SHREVEPORT, LA 71119-6228
(318) 636-3113
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
475
LA
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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