Organization
HIGHLAND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GRANGER HARRISS IV (MANAGER)
(225) 755-8475
Entity
Organization
Contact information
Practice address
1513 LINE AVE STE 345, SHREVEPORT, LA 71101-4621
(225) 755-8475
Mailing address
1513 LINE AVE STE 345, SHREVEPORT, LA 71101-4621
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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