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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