Organization
COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET MILLER (EXECUTIVE DIRECTOR)
(318) 222-8511
Entity
Organization
Contact information
Practice address
2000 FAIRFIELD AVENUE, SHREVEPORT, LA 71104
(318) 222-8511
(318) 212-5565
Mailing address
2000 FAIRFIELD AVENUE, SHREVEPORT, LA 71104
(318) 222-8511
(318) 212-5565
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
238
LA
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891152328
CLINIC NPI
LA
01
—
1902643455
CLINIC NPI
LA
05
—
3571455
—
LA
05
—
3571471
—
LA
Enumeration date
11/05/2007
Last updated
07/11/2024
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