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MONROE ADDICTIVE DISORDER CLINIC NPI 1710149810


NPI Information

NPI: 1710149810
Provider Name: MONROE ADDICTIVE DISORDER CLINIC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3200 CONCORDIA AVE
MONROE, LA
ZIP 71201
Phone: (318) 362-5188
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MONROE ADDICTIVE DISORDER CLINIC is a substance abuse rehabilitation facility in Monroe, LA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MONROE ADDICTIVE DISORDER CLINIC NPI is 1710149810. The provider is registered as an organization entity type.

The provider's business location address is:

3200 CONCORDIA AVE
MONROE, LA
ZIP 71201-113
Phone: (318) 362-5188
Fax: (318) 362-5215

The provider's authorized official is Deangela Dianne Dobbins .
The authorized official title is Counsleor 4 and has the following contact phone number (318) 362-5188.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 6/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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