| Clhg-ruston Llc | |
|
1401 Ezelle St Ruston LA 71270-7218 | |
| (318) 254-2417 | |
| (318) 254-2776 |
| Full Name | Clhg-ruston Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1401 Ezelle St, Ruston, Louisiana |
| Authorized Official Name and Position | Kathy Hall (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3182542450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clhg-ruston Llc 1118 S Farmerville St Ruston LA 71270-5914 Ph: () - | Clhg-ruston Llc 1401 Ezelle St Ruston LA 71270-7218 Ph: (318) 254-2417 |
| NPI Number | 1588237747 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588237747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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