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Organization

CENLA MENTAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE KING NURSE PRACTITIONER (NP)
(318) 613-4762
Entity
Organization

Contact information

Practice address
307 BUCKEYE RIDGE LOOP, DEVILLE, LA 71328-8515
(318) 613-4762
Mailing address
307 BUCKEYE RIDGE LOOP, DEVILLE, LA 71328-8515
(318) 613-4762

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
04/28/2019
Last updated
04/28/2019
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