Eastern La. Mental Health System Community Homes Division

NPI #1972729127 in Jackson, Louisiana

Provider Information

NPI Number: 1972729127
Entity Type: Organization
Organization Name: Eastern La. Mental Health System Community Homes Division
Primary Specialty: Psychiatric Hospital
Enumeration Date: Apr 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4502 HWY. 951
City: Jackson
State: Louisiana
ZIP Code: 70748-0498
Phone: (225) 634-0661

Authorized Official

Name: MS. DONNA M. HARRELL
Title: ADM. CO. 4
Phone: (225) 634-0661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatric Hospital	283Q00000X	Primary

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