Organization
CANE RIVER CHILDREN'S SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALLON DAI O'BANNON RSW (BEHAVIOR COUNSELOR)
(318) 208-0043
Entity
Organization
Contact information
Practice address
425 RUE DE GABRIEL, NATCHITOCHES, LA 71457-8243
(318) 352-9349
(318) 352-9345
Mailing address
425 RUE DE GABRIEL, NATCHITOCHES, LA 71457-8243
(318) 352-9349
(318) 352-9345
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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