| NPI | 1306800289 |
|---|---|
| Doing Business As | BEHAVIORAL HEALTH CLINIC OF CENTRAL LA (AD) |
| Entity Type | Organization |
| Authorized Contact | JOHN EGAN JONES Regional Administrator 318-487-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: LA MD 017125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA LAC 592) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA LAC # 904) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA LAC #713) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA RAC #1340) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA CAC #1330) | |
| 1041C0700X Social Worker, Clinical (Licence: LA RSW # 7478) | |
| 1041C0700X Social Worker, Clinical (Licence: LA LMSW #4870) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: LA RN #055444) | |
| 164W00000X Licensed Practical Nurse (Licence: LA LPN # 850513) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2011-07-28 |