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Organization

RED RIVER THERAPEUTIC SOULUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VONETTA FAYE COOK BS (MENTAL HEALTH PROFESSIONSAL)
(318) 402-7789
Entity
Organization

Contact information

Practice address
7000 RED FOX TRL APT 237, SHREVEPORT, LA 71129-3546
(318) 423-7963
Mailing address
7000 RED FOX TRL APT 237, SHREVEPORT, LA 71129-3546
(318) 423-7963

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
251S00000X
LA

Other

Enumeration date
11/21/2016
Last updated
11/21/2016
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