Organization
DHH
Active
Other names
Behavioral Health of Central La
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA CRAIG (FACILITY MANAGER)
(318) 484-6850
Entity
Organization
Contact information
Practice address
242 W SHAMROCK AVE UNIT 1, PINEVILLE, LA 71360-6439
(318) 484-6850
(318) 484-6844
Mailing address
242 W SHAMROCK AVE UNIT 1, PINEVILLE, LA 71360-6439
(318) 484-6850
(318) 484-6844
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
87
LA
Other
Enumeration date
02/05/2007
Last updated
07/30/2013
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