| NPI | 1639511256 |
|---|---|
| Doing Business As | BASTROP BEHAVIORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | OCTAVIA GREEN Administrative Program Specialist B 318-362-3270 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 2203782906) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2023-10-06 |