Organization
SHREVEPORT MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY LEE JORDAN G.S.W. (SOCIAL WORKER III)
(318) 676-5111
Entity
Organization
Contact information
Practice address
509 S BARNETT SPRINGS ST, RUSTON, LA 71270-9011
(318) 242-0026
Mailing address
509 S BARNETT SPRINGS ST, RUSTON, LA 71270-9011
(318) 242-0026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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