COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA is a substance abuse rehabilitation facility in Shreveport, 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. COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA NPI is 1699955815. The provider is registered as an organization entity type.
The provider's business location address is:
2000 FAIRFIELD AVENUE
SHREVEPORT, LA
ZIP 71104
Phone: (318) 222-8511
Fax: (318) 212-5565
The provider's authorized official is William Rose .
The authorized official title is Executive Director and has the following contact phone number (318) 222-8511.
The CLIA number assigned to this NPI record is 19D2290469 - other - substance abuse facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/5/2007 and was last updated on 1/12/2023.