MAGNOLIA COMMUNITY MENTAL HEALTH FACILITY INC.

SHREVEPORT, LA
NPI1982652301
Entity TypeOrganization
Authorized ContactDEWARRENT L. BRANTLEY
CEO/ President
318-678-0907
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2006-05-05
Last Update Date2008-02-14
Business Address
MAGNOLIA COMMUNITY MENTAL HEALTH FACILITY INC.
2005 CRESWELL AVE
SHREVEPORT, LA 71104-2201
Phone number: 318-678-0907
Mailing Address
MAGNOLIA COMMUNITY MENTAL HEALTH FACILITY INC.
2005 CRESWELL AVE P.O.BOX 4908 SHREVEPORT LA.71134
SHREVEPORT, LA 71104-2201
Phone number: 318-678-0907
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