Organization
FLORIDA PARISHES HUMAN SERVICES AUTHORITY
Active
Parent organization
FLORIDA PARISHES HUMAN SERVICES AUTHORITY
Other names
FPHSA Bogalusa Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA PARISHES HUMAN SERVICES AUTHORITY
Authorized official
MRS. MELANIE WATKINS (EXECUTIVE DIRECTOR)
(985) 543-4333
Entity
Organization
Contact information
Practice address
619 WILLIS AVE, BOGALUSA, LA 70427-3001
(985) 732-6610
(985) 732-6626
Mailing address
619 WILLIS AVE, BOGALUSA, LA 70427-3001
(985) 732-6610
(985) 732-6626
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
131
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710091
—
LA
Enumeration date
11/05/2013
Last updated
02/16/2015
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