PECAN HAVEN ADDICTION RECOVERY CENTER, LLC – NPI #1366820706
Substance Abuse Rehabilitation Facility

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 is a substance abuse rehabilitation facility located in MONROE, LA. NPPES has assigned the NPI number 1366820706 to PECAN HAVEN ADDICTION RECOVERY CENTER, LLC on May 18, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is PECAN HAVEN ADOLESCENT ADDICTION CENTER. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 10 years ago on Sep 14, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PECAN HAVEN ADDICTION RECOVERY CENTER, LLC below.

NPI Profile for
PECAN HAVEN ADDICTION RECOVERY CENTER, LLC

NPI Number
1366820706
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PECAN HAVEN ADDICTION RECOVERY CENTER, LLC
Former Legal Business Name: PECAN HAVEN ADOLESCENT ADDICTION CENTER
Primary location
2321 HWY 80 EAST
MONROE, LA 71203
Phone: (318) 600-3333 Fax: (318) 600-3334
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AMANDA FONTENOT
BUSINESS MANAGER
Phone: (318) 600-3333
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
LA 220382709

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.