| Pauls Intervention Service | |
|
165 Sonny Ln Jena LA 71342-5915 | |
| (318) 992-5677 | |
| (318) 992-5677 |
| Full Name | Pauls Intervention Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 165 Sonny Ln, Jena, Louisiana |
| Authorized Official Name and Position | Mary D Paul (GENERAL OWNER) |
| Authorized Official Contact | 3189925677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pauls Intervention Service 165 Sonny Ln Jena LA 71342-5915 Ph: (318) 992-5677 | Pauls Intervention Service 165 Sonny Ln Jena LA 71342-5915 Ph: (318) 992-5677 |
| NPI Number | 1477838191 |
|---|---|
| Provider Enumeration Date | 10/13/2011 |
| Last Update Date | 10/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477838191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2040 (Louisiana) | Primary |
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