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Organization
SHALOM CLINIC FOR CHILDREN APMC
Active
Organization
SHALOM CLINIC FOR CHILDREN APMC
Active
Parent organization
SHALOM CLINIC FOR CHILDREN, APMC.
Other names
Behavioral Health Services @Shalom Clinic for Children APMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHALOM CLINIC FOR CHILDREN, APMC.
Authorized official
OVAYOZA I ADELEYE MD (PSYCHIATRIST)
(318) 356-7211
Entity
Organization
Contact information
Practice address
117 SOUTH DR, NATCHITOCHES, LA 71457-5039
(318) 356-7211
(318) 356-7226
Mailing address
117 SOUTH DR, NATCHITOCHES, LA 71457-5039
(318) 356-7211
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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