Organization
FOUNDATION RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA T DUPREE (OFFICE MANAGER)
(318) 716-9085
Entity
Organization
Contact information
Practice address
2419 SOUTHERN AVE, SHREVEPORT, LA 71104-2969
(318) 227-1475
(318) 227-1472
Mailing address
2419 SOUTHERN AVE, SHREVEPORT, LA 71104-2969
(318) 227-1475
(318) 227-1472
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/06/2021
Last updated
03/10/2022
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