DEPARTMENT OF HEALTH AND HOSPITALS

RUSTON, LA
NPI1962468819
Doing Business AsOBH-RUSTON ADDICTIVE DISORDERS CLINIC
Entity TypeOrganization
Authorized ContactPHYLLIS JERRI PARKS
Oad/Regional Administrator
318-362-3270
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  LCSW 4518)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  880)
261QM1300X Clinic/Center, Multi-Specialty
(Licence: LA  MD010285)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  CAC1223)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  RAC1224)
Enumeration Date2006-04-20
Last Update Date2010-08-25
Business Address
DEPARTMENT OF HEALTH AND HOSPITALS
602 E GEORGIA AVE
RUSTON, LA 71270-3931
Phone number: 318-251-4125
Mailing Address
DEPARTMENT OF HEALTH AND HOSPITALS
602 E GEORGIA AVE
RUSTON, LA 71270-3931
Phone number: 318-251-4125