Intensive Behavioral Health | |
1800 Irving Pl Shreveport LA 71101-4608 | |
(318) 934-0539 | |
(318) 656-5353 |
Full Name | Intensive Behavioral Health |
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Speciality | Psychiatric Unit |
Location | 1800 Irving Pl, Shreveport, Louisiana |
Authorized Official Name and Position | Chaim Rottenberg (ASSET MANAGER) |
Authorized Official Contact | 3475225970 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Intensive Behavioral Health 150 Airport Rd Ste 900 Lakewood NJ 08701-6988 Ph: (516) 668-9675 | Intensive Behavioral Health 1800 Irving Pl Shreveport LA 71101-4608 Ph: (318) 934-0539 |
NPI Number | 1316522774 |
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Provider Enumeration Date | 03/16/2021 |
Last Update Date | 10/25/2023 |
Certification Date | 10/20/2023 |
Medicare PECOS PAC ID | 6507196995 |
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Medicare Enrollment ID | O20200612002217 |
Identifier | Type | State | Issuer |
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1316522774 | NPI | - | NPPES |
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