Organization
CENTER FOR BEHAVIORAL HEALTH LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
1303 LINE AVE STE 600, SHREVEPORT, LA 71101-4638
(208) 367-9446
Mailing address
5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244-3946
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
09/23/2009
Last updated
12/23/2024
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