Organization
BEHAVIORAL HOSPITAL OF SHREVEPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY CAIN (CEO)
(210) 943-5565
Entity
Organization
Contact information
Practice address
2025 DESOTO ST, SHREVEPORT, LA 71103-4717
(866) 626-1840
Mailing address
2025 DESOTO ST, SHREVEPORT, LA 71103-4717
(866) 626-1840
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
545
LA
Other
Enumeration date
07/05/2006
Last updated
08/22/2020
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