Organization
SUCCESS INSITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN OCONNOR (OPERATIONS DIRECTOR)
(318) 222-4299
Entity
Organization
Contact information
Practice address
504 BARKSDALE, BOSSIER CITY, LA 71111
(318) 222-4299
Mailing address
504 BARKSDALE BLVD, BOSSIER CITY, LA 71111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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