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Organization

ALEXANDRI VA MEDICAL CENTER

Active
Other names
PSYCHIATRY/CHEMICAL DEPENDENCY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD ALLEN SEYMOUR SR. AMERICAN ACADEMY (CAS/ADDICTION THERAPIST)
(318) 473-0010
Entity
Organization

Contact information

Practice address
2495 SHREVEPORT HYW 71NORTH, PINEVILLE, LA 71360
(318) 473-0010
(318) 483-5176
Mailing address
2495 SHREVEPORT HYW 71NORTH, PINEVILLE, LA 71360
(318) 473-0010
(318) 483-5176

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4280
MA

Other

Enumeration date
10/25/2006
Last updated
06/13/2008
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