| Wk Behavioral Health Medical Center | |
|
2300 Hospital Dr Suite 340 Bossier City LA 71111-2394 | |
| (318) 212-7461 | |
| (318) 212-7465 |
| Full Name | Wk Behavioral Health Medical Center |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2300 Hospital Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Greg J. Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182124232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Behavioral Health Medical Center 1202 Louisiana Ave Shreveport LA 71101-3910 Ph: (318) 212-8946 | Wk Behavioral Health Medical Center 2300 Hospital Dr Suite 340 Bossier City LA 71111-2394 Ph: (318) 212-7461 |
| NPI Number | 1689962722 |
|---|---|
| Provider Enumeration Date | 07/11/2011 |
| Last Update Date | 10/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689962722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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