Provider Demographics
NPI:1528808953
Name:CDF HEALTHCARE-CENLA, INCORPORATED
Entity type:Organization
Organization Name:CDF HEALTHCARE-CENLA, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ED
Authorized Official - Middle Name:G
Authorized Official - Last Name:MURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-704-1569
Mailing Address - Street 1:PO BOX 11650
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71315-1650
Mailing Address - Country:US
Mailing Address - Phone:318-308-5333
Mailing Address - Fax:
Practice Address - Street 1:210 LAUREL ST
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-4662
Practice Address - Country:US
Practice Address - Phone:318-619-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-31
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder