DEPARTMENT OF HEALTH & HOSPITALS

NPI # 

Practice Address:

501 Louisiana Avenue

Mansfield, LA, 71052-2621

Practice Phone:

318-872-5576

Practice Fax:

318-872-9780

License Number:

93

License State:

LA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X