| Jonesboro Behavioral Health Clinic | |
|
602 E Georgia Ave Ruston LA 71270-3931 | |
| (318) 251-4125 | |
| (318) 251-5000 |
| Full Name | Jonesboro Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 602 E Georgia Ave, Ruston, Louisiana |
| Authorized Official Name and Position | Mark Debord (REGIONAL ADMINISTRAT) |
| Authorized Official Contact | 3183623270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonesboro Behavioral Health Clinic 2513 Ferrand St Monroe LA 71201-3210 Ph: (318) 362-3270 | Jonesboro Behavioral Health Clinic 602 E Georgia Ave Ruston LA 71270-3931 Ph: (318) 251-4125 |
| NPI Number | 1215074430 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 07/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215074430 | NPI | - | NPPES |
| 1710571 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 100 (Louisiana) | Primary |
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