Organization
DEPARTMENT OF HEALTH AND HOSPITALS
Active
Other names
Pines Treatment Center Continuing Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE SEWELL (FACILITY MANAGER)
(318) 632-2010
Entity
Organization
Contact information
Practice address
6240 GREENWOOD RD, SHREVEPORT, LA 71119-8413
(318) 632-2010
(318) 632-2055
Mailing address
6240 GREENWOOD RD, SHREVEPORT, LA 71119-8413
(318) 632-2010
(318) 632-2055
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
012
LA
Other
Enumeration date
04/27/2006
Last updated
08/22/2020
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