| Organization Name: | DEPARTMENT OF HEALTH & HOSPITAL |
| NPI Number: | 1023075017 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALLIE D. ALLEN (ADMINISTRATIVE PROGRAM MANAGER) |
| Mailing Address: | 1310 North Hearne Avenue Shreveport |
| State: | LA US |
| Postal Code: | 71107 |
| Phone Number: | 3186322040 |
| Fax Number: | 3186322073 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 02/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 115 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |