Organization
DEPARTMENT OF HEALTH & HOSPITALS
Active
Other names
Shreveport Behavioral Health Clinic - Child & Adolescent
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
2924 KNIGHT ST, BUILDING III, 2ND FLOOR, SUITE 350, SHREVEPORT, LA 71105-2415
(318) 862-3053
(318) 862-3057
Mailing address
2924 KNIGHT ST, BUILDING III, 2ND FLOOR, SUITE 350, SHREVEPORT, LA 71105-2415
(318) 862-3053
(318) 862-3080
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
105
LA
Other
Enumeration date
08/20/2009
Last updated
07/31/2013
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