Monroe Addictive Disorder Clinic in Monroe - Substance Abuse Rehabilitation Facility

Monroe Addictive Disorder Clinic - NPI 1710149810

Monroe Addictive Disorder Clinic is a Substance Abuse Rehabilitation Facility in Monroe, Louisiana. Monroe Addictive Disorder Clinic practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Monroe Addictive Disorder Clinic is 1710149810. The last update date is 2008-06-30.

Monroe Addictive Disorder Clinic's current location address is 3200 Concordia Ave, Monroe, Louisiana. You can contact this provider via phone number 3183625188 and fax number 3183625215. The mailing address for Monroe Addictive Disorder Clinic is 3200 Concordia Ave, Monroe, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Monroe Addictive Disorder Clinic
Address 3200 Concordia Ave, Monroe, Louisiana
Phone Number 3183625188
Fax Number 3183625215
Sole Proprietor --
Credentials --

Authorized Official

Title or Position COUNSLEOR
Authorized Official Name Dobbins Dianne Deangela
Credentials LMFT
Telephone Number 3183625188

NPI Number Detail

NPI Number 1710149810
Provider Enumeration Date 2008-06-30
Last Updated Date 2008-06-30

Provider Mailing Address Detail

Address 3200 Concordia Ave
City Monroe
State Louisiana (LA)
Post Code 712015113
Phone Number 3183625188
Fax Number 3183625215

Provider's Primary Taxonomy Detail

Speciality Substance Abuse Rehabilitation Facility
Taxonomy 324500000X
Definition:
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.

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FAQs about Monroe Addictive Disorder Clinic

What is the unique provider identifier assigned to Monroe Addictive Disorder Clinic?

The Monroe Addictive Disorder Clinic has been issued the NPI (National Provider Identifier) 1710149810 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Monroe Addictive Disorder Clinic is physically located?

The Monroe Addictive Disorder Clinic is physically situated at the following address: 3200 Concordia Ave, Monroe, LA, 712015113.

What is the Monroe Addictive Disorder Clinic's area of specialization and corresponding taxonomy classification?

The Monroe Addictive Disorder Clinic's specialty field is Substance Abuse Rehabilitation Facility, and it falls under the taxonomy code 324500000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1710149810 to Monroe Addictive Disorder Clinic?

The Monroe Addictive Disorder Clinic received its 1710149810 assignment from the Centers for Medicare & Medicaid Services on 2008-06-30.

When was the Monroe Addictive Disorder Clinic's information last updated?

The Monroe Addictive Disorder Clinic's information was last updated on 2008-06-30.

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