| NPI | 1215083332 |
|---|---|
| Doing Business As | SHREVEPORT BEHAVIORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALLIE D. ALLEN Dir. Of Operations 318-676-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 105) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-07-30 |