Organization
PHYSICIANS BEHAVIORAL HOSPITAL, LLC
Active
Organization
PHYSICIANS BEHAVIORAL HOSPITAL, LLC
Active
Other names
Physicians Behavioral Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E. LOGAN III (MANAGER)
(337) 233-4165
Entity
Organization
Contact information
Practice address
2025 DESOTO ST, SHREVEPORT, LA 71103-4717
(318) 550-0520
Mailing address
700 JEFFERSON ST, LAFAYETTE, LA 70501-6910
(337) 233-4165
(337) 237-6729
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
07/08/2008
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