| Behavioral Health Clinic Of Central La (ad) | |
|
242 West Shamrock Unit 1 Pineville LA 71360 | |
| (318) 488-6846 | |
| (318) 488-6844 |
| Full Name | Behavioral Health Clinic Of Central La (ad) |
|---|---|
| Speciality | Family Medicine - Addiction Medicine |
| Location | 242 West Shamrock, Pineville, Louisiana |
| Authorized Official Name and Position | John Egan Jones (REGIONAL ADMINISTRATOR) |
| Authorized Official Contact | 3184875191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Clinic Of Central La (ad) Po Box 7473 Alexandria LA 71306-7473 Ph: (318) 488-6846 | Behavioral Health Clinic Of Central La (ad) 242 West Shamrock Unit 1 Pineville LA 71360 Ph: (318) 488-6846 |
| NPI Number | 1306800289 |
|---|---|
| Provider Enumeration Date | 04/17/2006 |
| Last Update Date | 07/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306800289 | NPI | - | NPPES |
| G9759 | Other | LA | BLUECROSS BLUESHILED |
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