MMO OF SHREVEPORT, LLC

SHREVEPORT, LA
NPI1124067145
Former Legal Business NameANTARES BEHAVIORAL HEALTH, LLC
Entity TypeOrganization
Authorized ContactROBERT L MILLER
CEO
225-293-6774
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2006-06-05
Last Update Date2008-10-03
Business Address
MMO OF SHREVEPORT, LLC
3341 YOUREE DR SUITE 102
SHREVEPORT, LA 71105-2149
Phone number: 318-688-6228
Mailing Address
MMO OF SHREVEPORT, LLC
728 NORTH BLVD
BATON ROUGE, LA 70802-5724
Phone number: 225-293-6774