Organization
DIMENSIONAL BEHAVIORAL HEALTH SERVICES INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASSION LACOLE TAYLOR PAYNE (PROGRAM DIRECTOR)
(318) 792-8448
Entity
Organization
Contact information
Practice address
3600 JACKSON ST STE 111B, ALEXANDRIA, LA 71303-3000
(318) 704-6515
(318) 704-6513
Mailing address
PO BOX 1245, ALEXANDRIA, LA 71309-1245
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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