Organization
PECAN HAVEN ADDICTION RECOVERY CENTER, LLC
Active
Other names
Pecan Haven Adolescent Addiction Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PEELER FONTENOT CPPM (BUSINESS MANAGER)
(318) 600-3333
Entity
Organization
Contact information
Practice address
2321 HWY 80 EAST, MONROE, LA 71203
(318) 600-3333
(318) 600-3334
Mailing address
2321 HWY 80 EAST, MONROE, LA 71203
(318) 600-3333
(318) 600-3334
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
220382709
LA
Other
Enumeration date
05/18/2015
Last updated
09/14/2016
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