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Organization
PHOENIX BEHAVIORAL HOSPITAL OF EUNICE, LLC
Active
Organization
PHOENIX BEHAVIORAL HOSPITAL OF EUNICE, LLC
Active
Other names
PHOENIX BEHAVIORAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E RICHARDSON (CEO)
(318) 641-3717
Entity
Organization
Contact information
Practice address
2021 CROWLEY RAYNE HWY, RAYNE, LA 70578
(337) 788-0091
(866) 933-1140
Mailing address
4333 SHREVEPORT HWY, PINEVILLE, LA 71360
(318) 445-6470
(318) 641-3745
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
LA
283Q00000X
Psychiatric Hospital
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1704491
—
LA
Enumeration date
03/07/2008
Last updated
05/18/2011
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