# SHALOM CLINIC FOR CHILDREN APMC

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- **Entity:** Organization
- **Status:** 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:** 1356957518
- **Legal business name:** SHALOM CLINIC FOR CHILDREN, APMC.
- **Authorized official:** OVAYOZA I ADELEYE MD (PSYCHIATRIST)
- **Authorized official phone:** (318) 356-7211

## Contact information

- **Practice address:** 117 SOUTH DR, NATCHITOCHES, LA 71457-5039
- **Practice address phone:** (318) 356-7211
- **Practice address fax:** (318) 356-7226
- **Mailing address:** 117 SOUTH DR, NATCHITOCHES, LA 71457-5039
- **Mailing address phone:** (318) 356-7211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2020
- **Last updated:** 09/22/2020