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Organization

LEISURE COMMUNITY MENTAL HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JAMILA WARNER RN (COO/FACILITY DIRECTOR)
(225) 402-4155
Entity
Organization

Contact information

Practice address
16270 AIRLINE HWY STE D, PRAIRIEVILLE, LA 70769-4589
(225) 773-4156
Mailing address
16430 KEYSTONE BLVD, PRAIRIEVILLE, LA 70769-6190
(225) 773-4156

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/13/2018
Last updated
04/11/2018
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