PECAN HAVEN ADDICTION RECOVERY CENTER, LLC 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. PECAN HAVEN ADDICTION RECOVERY CENTER, LLC NPI is 1366820706. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pecan Haven Adolescent Addiction Center.
The provider's business location address is:
2321 HWY 80 EAST
MONROE, LA
ZIP 71203
Phone: (318) 600-3333
Fax: (318) 600-3334
The provider's authorized official is Amanda Peeler Fontenot .
The authorized official title is Business Manager and has the following contact phone number (318) 600-3333.
The CLIA number assigned to this NPI record is 19D2101759 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/18/2015 and was last updated on 9/14/2016.