Organization
ACADIANA CONCERN FOR AIDS RELIEF EDUCATION AND SUPPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAUDE MARTIN (EXECUTIVE DIRECTOR)
(337) 233-2437
Entity
Organization
Contact information
Practice address
809 MARTIN LUTHER KING JR DR, LAFAYETTE, LA 70501-1884
(337) 233-2437
(337) 235-4178
Mailing address
PO BOX 3865, LAFAYETTE, LA 70502-3865
(337) 233-2437
(337) 235-4178
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
CM4010
LA
261Q00000X
Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
SA0008130
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109711
—
LA
01
—
600749121
MGL MIS
LA
Enumeration date
12/14/2006
Last updated
11/15/2022
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