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Organization

DEPARTMENT OF HEALTH AND HOSPITALS

Active
Other names
Leesville Mental Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. REBECCA I CRAIG (REGIONAL MANAGER)
(318) 487-5191
Entity
Organization

Contact information

Practice address
105 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 238-6431
(337) 238-7070
Mailing address
PO BOX 1526, LEESVILLE, LA 71496-1526
(337) 238-6431
(337) 238-7070

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
94
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710261
LA
Enumeration date
01/31/2007
Last updated
01/09/2014
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