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706 Ross St Oak Grove LA 71263-9798 | |
(318) 428-3200 | |
Not Available |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 706 Ross St, Oak Grove, Louisiana |
Authorized Official Name and Position | Raymond R Morris (ADMINISTRATOR) |
Authorized Official Contact | 3184284964 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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706 Ross St Oak Grove LA 71263-9798 Ph: (318) 428-3200 | 706 Ross St Oak Grove LA 71263-9798 Ph: (318) 428-3200 |
NPI Number | 1710154232 |
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Provider Enumeration Date | 05/14/2008 |
Last Update Date | 12/12/2023 |
Certification Date | 12/12/2023 |
Identifier | Type | State | Issuer |
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1710154232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | 485 (Louisiana) | Primary |