Organization
BOGALUSA RESTORATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER REILING MSS,CP (CHIEF STRATEGIC OFFICER)
(985) 241-5340
Entity
Organization
Contact information
Practice address
1640 S COLUMBIA ST, BOGALUSA, LA 70427-5800
(985) 241-5340
(985) 241-5341
Mailing address
1640 S COLUMBIA ST, BOGALUSA, LA 70427-5800
(985) 241-5340
(985) 241-5341
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
11/14/2018
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