CENTER FOR BEHAVIORAL HEALTH LOUISIANA LLC NPI 1376877456

NPI Information

CENTER FOR BEHAVIORAL HEALTH LOUISIANA LLC is a methadone clinic center in Shreveport, LA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. CENTER FOR BEHAVIORAL HEALTH LOUISIANA LLC NPI is 1376877456. The provider is registered as an organization entity type.

The provider's business location address is:

1303 LINE AVE STE 600
SHREVEPORT, LA
ZIP 71101-638
Phone: (208) 367-9446

The provider's authorized official is Jay Higham .
The authorized official title is Ceo and has the following contact phone number (214) 365-6112.

The CLIA number assigned to this NPI record is 19D2160314 - other - drug treatment facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2009 and was last updated on 6/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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