| NPI | 1396178885 |
|---|---|
| Doing Business As | SHREVEPORT BEHAVIORAL HEALTH CLINIC - CHILDREN SERVICES |
| Entity Type | Organization |
| Authorized Contact | CAROL W. ROBERTSON Billing Supervisor 318-862-3067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: LA 465) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: LA 2203781776) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2014-04-07 |