Organization Name: | RECYCLED RECOVERY COUNSELING SERVICES |
NPI Number: | 1467871699 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KERA E MOSELEY (PRESIDENT/CEO) |
Mailing Address: | 13287 Sandalwood Dr Franklinton |
State: | LA US |
Postal Code: | 704384599 |
Phone Number: | 9858396900 |
Fax Number: | 9858399963 |
NPI Enumeration Date: | 04/15/2014 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |