Developmental Resource Corporation
NPI #1417776279 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1417776279
- Entity Type
- Organization
- Organization Name
- Developmental Resource Corporation
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Oct 8, 2024
- Last Updated
- Oct 8, 2024
Practice Location
- Address
- 1120 CRESWELL AVE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71101-3961
- Phone
- (318) 208-4600
Authorized Official
- Name
- PHILLIP CORY PRYOR
- Title
- VICE PRESIDENT
- Phone
- (318) 347-9978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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