| NPI | 1871725192 |
|---|---|
| Doing Business As | SHREVEPORT BEHAVIORAL HEALTH CLINIC - CHILD & ADOLESCENT |
| Entity Type | Organization |
| Authorized Contact | ALLIE D. ALLEN Dir. Of Operations 318-676-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: LA 105) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2013-07-31 |