Organization Name: | VERMILION BEHAVIORAL HEALTH CENTER |
NPI Number: | 1003035825 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS S GUIDRY (ADMINISTRATOR) |
Mailing Address: | 710 N Foote Ave Kaplan |
State: | LA US |
Postal Code: | 705483030 |
Phone Number: | 3376437333 |
Fax Number: | 3376437338 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |