Organization
ACENTER FOR HOPE AND CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TAMPA YVETTE GIPSON (MENTAL HEALTH SPECIALIST)
(318) 990-8276
Entity
Organization
Contact information
Practice address
6811 SAGEWOOD DR, SHREVEPORT, LA 71129-9423
(318) 990-8276
Mailing address
6811 SAGEWOOD DR, SHREVEPORT, LA 71129-9423
(318) 990-8276
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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