| Provision Rehab | |
|
113 Bienville Sq Natchitoches LA 71457-5069 | |
| (318) 238-4030 | |
| Not Available |
| Full Name | Provision Rehab |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 113 Bienville Sq, Natchitoches, Louisiana |
| Authorized Official Name and Position | Deadrian Ficklin (DIRECTOR) |
| Authorized Official Contact | 3182384030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provision Rehab 113 Bienville Sq Natchitoches LA 71457-5069 Ph: (318) 238-4030 | Provision Rehab 113 Bienville Sq Natchitoches LA 71457-5069 Ph: (318) 238-4030 |
| NPI Number | 1154879039 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154879039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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