Organization
INTENSIVE SPECIALTY HOSPITAL, LLC
Active
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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