| Workers Of Mercy Behavior Management Llc | |
|
401 Hamilton Rd Ste 122 Bossier City LA 71111-4615 | |
| (318) 208-8791 | |
| (318) 208-8390 |
| Full Name | Workers Of Mercy Behavior Management Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 401 Hamilton Rd Ste 122, Bossier City, Louisiana |
| Authorized Official Name and Position | Demetrius Jordan (OWNER) |
| Authorized Official Contact | 3182088791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Workers Of Mercy Behavior Management Llc 401 Hamilton Rd Ste 122 Bossier City LA 71111-4615 Ph: (318) 208-8791 | Workers Of Mercy Behavior Management Llc 401 Hamilton Rd Ste 122 Bossier City LA 71111-4615 Ph: (318) 208-8791 |
| NPI Number | 1154866390 |
|---|---|
| Provider Enumeration Date | 12/26/2016 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154866390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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