| Obh-ruston Addictive Disorders Clinic | |
|
602 E Georgia Ave Ruston LA 71270-3931 | |
| (318) 251-4125 | |
| (318) 251-5000 |
| Full Name | Obh-ruston Addictive Disorders Clinic |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 602 E Georgia Ave, Ruston, Louisiana |
| Authorized Official Name and Position | Phyllis Jerri Parks (OAD/REGIONAL ADMINISTRATOR) |
| Authorized Official Contact | 3183623270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Obh-ruston Addictive Disorders Clinic 602 E Georgia Ave Ruston LA 71270-3931 Ph: (318) 251-4125 | Obh-ruston Addictive Disorders Clinic 602 E Georgia Ave Ruston LA 71270-3931 Ph: (318) 251-4125 |
| NPI Number | 1962468819 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 08/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962468819 | NPI | - | NPPES |
| H2376 | Other | LA | BCBSLA |
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