Organization
DEPARTMENT OF HEALTH & HOSPITALS
Active
Other names
Red River Behavioral Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALLIE D. ALLEN (DIR. OF OPERATIONS)
(318) 676-5160
Entity
Organization
Contact information
Practice address
1313 RINGGOLD AVENUE, COUSHATTA, LA 71019-1016
(318) 932-4029
(318) 932-5914
Mailing address
1313 RINGGOLD AVENUE, COUSHATTA, LA 71019-1016
(318) 932-4029
(318) 932-5914
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
93
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710687
—
LA
Enumeration date
01/25/2007
Last updated
07/31/2013
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