Organization
DEPARTMENT OF HEALTH AND HOSPITALS
Active
Other names
OBH-Southern Oaks Addiction Recovery and Starting Point Detox
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS JERRI PARKS MSW (OAD/REGIONAL ADMINISTRATOR)
(318) 362-3270
Entity
Organization
Contact information
Practice address
1416 NATCHITOCHES ST, WEST MONROE, LA 71292-3751
(318) 362-5430
(318) 362-5428
Mailing address
1416 NATCHITOCHES ST, WEST MONROE, LA 71292-3751
(318) 362-5430
(318) 362-5428
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
286
LA
Other
Enumeration date
04/19/2006
Last updated
08/25/2010
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