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Organization

COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA

Active
Parent organization
COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
Other names
CADA Addiction Recovery Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
Authorized official
JANET MILLER JR. (EXECUTIVE DIRECTOR)
(318) 222-8511
Entity
Organization

Contact information

Practice address
2000 FAIRFIELD AVE, SHREVEPORT, LA 71104-2002
(318) 222-8511
(318) 222-3273
Mailing address
2000 FAIRFIELD AVE, SHREVEPORT, LA 71104-2002
(318) 222-8511

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
276
LA
261Q00000X
Clinic/Center
276
LA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3571455
LA
Enumeration date
01/28/2016
Last updated
07/15/2024
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