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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Ruston Behavioral Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 White St, Ruston, LA 71270 Phone: 318-251-4125 Fax: 318-251-5000 | |
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