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Organization

DEPARTMENT OF HEALTH AND HOSPITALS

Active
Other names
Washington Parish ADAC
Organization subpart
No

Provider details

NPI number
Authorized official
JUDITH MICKENHEIM RN (CLINICAL COORDINATOR)
(985) 732-6655
Entity
Organization

Contact information

Practice address
WASHINGTON PARISH ADAC, 2106 AVENUE F, BOGALUSA, LA 70427-5027
(985) 732-6655
(985) 732-6678
Mailing address
WASHINGTON PARISH ADAC, 2106 AVENUE F, BOGALUSA, LA 70427-5027
(985) 732-6655
(985) 732-6678

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
3514
LA

Other

Enumeration date
05/04/2006
Last updated
08/22/2020
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