Provider Demographics
NPI:1730322595
Name:ADDICTION RECOVERY RESOURCES, INC.
Entity Type:Organization
Organization Name:ADDICTION RECOVERY RESOURCES, INC.
Other - Org Name:ADDICTION RECOVERY RESOURCES OF NEW ORLEANS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALPHONSE
Authorized Official - Middle Name:KENISON
Authorized Official - Last Name:ROY
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:504-780-2766
Mailing Address - Street 1:4933 WABASH STREET
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1031
Mailing Address - Country:US
Mailing Address - Phone:504-780-2766
Mailing Address - Fax:504-780-9699
Practice Address - Street 1:4933 WABASH STREET
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1031
Practice Address - Country:US
Practice Address - Phone:504-780-2766
Practice Address - Fax:504-780-9699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-09
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA439101YA0400X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty