Organization
PROMISE BEHAVIORAL HEALTH HOSPITAL OF SHREVEPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAGGIE MCWILLIAMS RN (REGULATORY SPECIALIST)
(225) 281-3076
Entity
Organization
Contact information
Practice address
1800 IRVING PL FL 3, SHREVEPORT, LA 71101-4608
(318) 425-4096
(318) 424-2627
Mailing address
1206 AMIENS DR, BATON ROUGE, LA 70810-4605
(225) 281-3076
(225) 310-8122
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
11/19/2017
Last updated
11/19/2017
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