COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA
Residential Treatment Facilities at Fairfield Ave, Shreveport, LA

License number
Louisiana 317
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: BILL ROSE
Title: CHIEF EXECUTIVE OFFICER
Phone: (318) 222-8511
Address
Address
2000 Fairfield Ave, Shreveport, LA 71104
National Provider ID: 1891154910
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COUNCIL ON ALCOHOLISM AND DRUG ABUSE OF NORTHWEST LOUISIANA

Shreveport, LA

Registration:
Oct 1, 1958
Addresses:
2000 Fairfield Ave, Shreveport, LA 71104 (Physical)
C/O Nancy Naremore, Shreveport, LA 71104 (Mailing)
State ID:
02804910N
Business type:
Non-Profit Corporation
Treasurers:
William E Rose (Director), 2000 Fairfield Ave, Shreveport, LA 71104 (Physical),Lisa Johnson (President), 211 Lafitte, Bossier City, LA 71111 (Physical),Michael Gould (Treasurer), 650 Olive St, Shreveport, LA 71104 (Physical)
Agent:
Bill Rose,2000 Fairfield Ave, Shreveport, LA 71104 (Physical)

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