| NPI | 1720133978 |
|---|---|
| Doing Business As | WINNSBORO/COLUMBIA BEHAVIORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK DEBORD Regional Administrat 318-362-3270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: LA 120) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 369) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-07-23 |