Organization
DEPARTMENT OF HEALTH AND HOSPITAL
Active
Other names
MINDEN OUTREACH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E. BOYD LAC, CCS (DIRECTOR)
(318) 632-2040
Entity
Organization
Contact information
Practice address
421 MEADOWVIEW DR, MINDEN, LA 71055-3522
(318) 632-2040
(318) 632-2073
Mailing address
6005 FINANCIAL PLZ, SHREVEPORT, LA 71129-2615
(318) 632-2040
(318) 632-2073
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
115
LA
Other
Enumeration date
04/27/2006
Last updated
08/22/2020
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