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General NPI Number Information
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NPI Number | 1265670905
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Entity Type | Organization
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Legal Business Name | ACADIANA ADDICTION CENTER, LLC
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 156 CHOCTAW RD
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City | SUNSET
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State | LA
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Zip | 70584-5415
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Country | US
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Telephone | 337-233-1111
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Fax | 337-510-7026
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Provider Business Mailing Address
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Address Line | 156 CHOCTAW RD
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City | SUNSET
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State | LA
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Zip | 70584-5415
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Country | US
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Telephone | 337-233-1111
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Fax | 337-510-7026
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Authorized Official
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Title or Position | VICE PRESIDENT & SECRETARY
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Name | MR. CHRISTOPHER HOWARD
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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