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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