Full Name | |
---|---|
Speciality | Psychiatric Unit |
Location | 225 Guidroz, Arnaudville, Louisiana |
Authorized Official Name and Position | William M. Gracey (COO) |
Authorized Official Contact | 6153728500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
103 Powell Ct Ste. 200 Brentwood TN 37027-5079 Ph: (615) 372-8500 | 225 Guidroz Arnaudville LA 70512 Ph: (318) 754-5557 |
NPI Number | 1427122969 |
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Provider Enumeration Date | 11/17/2006 |
Last Update Date | 09/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427122969 | NPI | - | NPPES |
1705829 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 417-A (Louisiana) | Primary |