Organization
PHOENIX BEHAVIORAL HOSPITAL OF EUNICE, LLC
Active
Other names
PHOENIX BEHAVIORAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E RICHARDSON (CEO)
(318) 641-3717
Entity
Organization
Contact information
Practice address
2021 CROWLEY RAYNE HWY, RAYNE, LA 70578
(337) 788-0091
(866) 933-1140
Mailing address
4333 SHREVEPORT HWY, PINEVILLE, LA 71360
(318) 445-6470
(318) 641-3745
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
LA
283Q00000X
Psychiatric Hospital
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1704491
—
LA
Enumeration date
03/07/2008
Last updated
05/18/2011
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