Organization
BEAUREGARD BEHAVIORAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATHA GANTT LCSW (CLINIC MANAGER)
(337) 462-1641
Entity
Organization
Contact information
Practice address
106 W PORT ST, DERIDDER, LA 70634-4040
(337) 462-1641
Mailing address
106 W PORT ST, DERIDDER, LA 70634-4040
(337) 462-1641
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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