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Organization
AFFINITY BEHAVIORAL HEALTH SERVICES
Active
Organization
AFFINITY BEHAVIORAL HEALTH SERVICES
Active
Parent organization
AFFINITY BEHAVIORAL HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFFINITY BEHAVIORAL HEALTH SERVICES
Authorized official
KEITH CUMMINGS (OWNER)
(318) 349-8272
Entity
Organization
Contact information
Practice address
1845 LINE AVE STE A, SHREVEPORT, LA 71101-4611
(318) 670-7447
Mailing address
1845 LINE AVE STE A, SHREVEPORT, LA 71101-4611
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
04/24/2024
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