| Exodus Behavioral Health Center-ferriday, Llc | |
|
201 Ee Wallace Blvd Suite 3 Ferriday LA 71334 | |
| (318) 757-0016 | |
| Not Available |
| Full Name | Exodus Behavioral Health Center-ferriday, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 201 Ee Wallace Blvd Suite 3, Ferriday, Louisiana |
| Authorized Official Name and Position | Terry L Wells (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3187570016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exodus Behavioral Health Center-ferriday, Llc 201 Ee Wallace Blvd Suite 3 Ferriday LA 71334 Ph: (318) 757-0016 | Exodus Behavioral Health Center-ferriday, Llc 201 Ee Wallace Blvd Suite 3 Ferriday LA 71334 Ph: (318) 757-0016 |
| NPI Number | 1720349392 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 05/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720349392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Louisiana) | Primary |
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