| NPI | 1821421686 |
|---|---|
| Doing Business As | SHREVEPORT BEHAVIORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | CAROL W ROBERTSON Accounting Supervisor 318-862-3067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: LA 2203782546) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2015-12-03 |