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1962916544
PROMISE BEHAVIORAL HEALTH HOSPITAL OF SHREVEPORT, INC.
SHREVEPORT, LA
NPI
1962916544
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Entity Type
Organization
Authorized Contact
MAGGIE MCWILLIAMS
Regulatory Specialist
225-281-3076
Organization Subpart ?
No
Primary Taxonomy
284300000X Special Hospital
Enumeration Date
2017-11-19
Last Update Date
2017-11-19
Business Address
PROMISE BEHAVIORAL HEALTH HOSPITAL OF SHREVEPORT, INC.
1800 IRVING PL FL 3
SHREVEPORT, LA 71101-4608
Phone number: 318-425-4096
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Mailing Address
PROMISE BEHAVIORAL HEALTH HOSPITAL OF SHREVEPORT, INC.
1206 AMIENS DR
BATON ROUGE, LA 70810-4605
Phone number: 225-281-3076
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