Organization
WORKERS OF MERCY BEHAVIOR MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMETRIUS JORDAN (OWNER)
(318) 208-8791
Entity
Organization
Contact information
Practice address
401 HAMILTON RD STE 122, BOSSIER CITY, LA 71111-4615
(318) 208-8791
(318) 208-8390
Mailing address
401 HAMILTON RD STE 122, BOSSIER CITY, LA 71111-4615
(318) 208-8791
(844) 726-2921
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/26/2016
Last updated
02/14/2017
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