INTENSIVE SPECIALTY HOSPITAL, LLC is an adult mental health clinic center in Shreveport, LA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. INTENSIVE SPECIALTY HOSPITAL, LLC NPI is 1598344848. The provider is registered as an organization entity type.
The provider Is Doing Business As North Louisiana Whole Health Treatment Center.
The provider's business location address is:
1513 LINE AVENUE
SHREVEPORT, LA
ZIP 71101-621
Phone: (318) 425-4096
Fax: (318) 424-2627
The provider's authorized official is Chaim Rottenberg .
The authorized official title is Asset Manager and has the following contact phone number (347) 522-5970.
The CLIA number assigned to this NPI record is 19D2275120 - hospital with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/5/2021 and was last updated on 6/3/2021.