Organization
NORTHWEST CMHC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HARRIS (MEMBER)
(225) 892-6119
Entity
Organization
Contact information
Practice address
2121 FAIRFIELD AVE, SUITE 210/220, SHREVEPORT, LA 71104-2057
(225) 892-6119
Mailing address
1813 ROSALE DR, BATON ROUGE, LA 70806-8566
(225) 892-6119
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
NA
—
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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