Organization
FAIRWAY COUNSELING, INC
Active
Organization
FAIRWAY COUNSELING, INC
Active
Other names
Fairway Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH ANDRE FOX MHP (CHIEF EXECUTIVE OFFICE)
(318) 449-4474
Entity
Organization
Contact information
Practice address
3834 INDEPENDENCE DR, ALEXANDRIA, LA 71303-3533
(318) 449-4474
(318) 449-4472
Mailing address
3834 INDEPENDENCE DR, ALEXANDRIA, LA 71303-3533
(318) 449-4474
(318) 449-4472
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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