Department Of Health And Hospitals
Clinic/Center, Mental Health (Including Community Mental Health Center) in Ruston, LA. Organization (NPI-2).
NPI number1215074430
StatusActive
Last updated in NPPESJul 23, 2013
Details
- NPI
- 1215074430
- Entity type
- Organization (NPI-2)
- Legal business name
- Department Of Health And Hospitals
- Organization subpart
- No
- Enumeration date
- Jan 30, 2007
- Last updated
- Jul 23, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 100 | LA | Yes |
Other names
- Jonesboro Behavioral Health Clinic (Doing Business As)
Practice location
602 E Georgia AveRuston, LA 71270-3931
Phone 318-251-4125 · Fax 318-251-5000
Mailing address
2513 Ferrand StMonroe, LA 71201-3210
Phone 318-362-3270 · Fax 318-362-3268
Authorized official
Mark Debord
Regional Administrat
3183623270
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