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1417987116
BEHAVIORAL HOSPITAL OF SHREVEPORT
SHREVEPORT, LA
NPI
1417987116
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Entity Type
Organization
Authorized Contact
GARY CAIN
CEO
210-943-5565
Organization Subpart ?
No
Primary Taxonomy
283Q00000X Psychiatric Hospital
(Licence: LA 545)
Enumeration Date
2006-07-05
Last Update Date
2020-08-22
Business Address
BEHAVIORAL HOSPITAL OF SHREVEPORT
2025 DESOTO ST
SHREVEPORT, LA 71103-4717
Phone number: 866-626-1840
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Mailing Address
BEHAVIORAL HOSPITAL OF SHREVEPORT
2025 DESOTO ST
SHREVEPORT, LA 71103-4717
Phone number: 866-626-1840
Copy
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