Organization
INTENSIVE SPECIALTY HOSPITAL, LLC
Active
Other names
Intensive Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHAIM ROTTENBERG (ASSET MANAGER)
(347) 522-5970
Entity
Organization
Contact information
Practice address
1800 IRVING PL, SHREVEPORT, LA 71101-4608
(318) 934-0539
(318) 656-5353
Mailing address
150 AIRPORT RD STE 900, LAKEWOOD, NJ 08701-6988
(516) 668-9675
(732) 370-3013
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
10/25/2023
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