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1811334964
SHREVEPORT BEHAVIORAL HEALTH CLINIC
SHREVEPORT, LA
NPI
1811334964
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Entity Type
Organization
Authorized Contact
WENDY GOAD
Regional Administrator
318-676-5111
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2013-05-30
Last Update Date
2013-05-30
Business Address
SHREVEPORT BEHAVIORAL HEALTH CLINIC
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5111
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Mailing Address
SHREVEPORT BEHAVIORAL HEALTH CLINIC
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number:
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