Organization
RENEWING BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY DEWAYNE LEDET (CEO)
(318) 306-2482
Entity
Organization
Contact information
Practice address
119 N 13TH ST, OAKDALE, LA 71463-2742
(318) 306-2482
(313) 335-2907
Mailing address
409 N 11TH ST, OAKDALE, LA 71463-2652
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
09/09/2008
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