| Organization Name: | BARKSDALE AIR FORCE BASE |
| NPI Number: | 1851715122 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSANNA V WEEKS (PSYCHIATRIC NURSE, BHOP) |
| Mailing Address: | 243 Curtiss Rd Suite 100 Barksdale Afb |
| State: | LA US |
| Postal Code: | 711102425 |
| Phone Number: | 3184566705 |
| Fax Number: | 3184561022 |
| NPI Enumeration Date: | 02/07/2014 |
| NPI Last Update Date: | 02/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 100643 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |