Whalio Doctors

NPI 1376192484

Dena Children Center LLC

Organisation Psychiatric Residential Treatment Facility Bogalusa, LA

Practice location

Address
1640 S Columbia St, Bogalusa, LA 70427-5800
Phone
(410) 616-1074
Mailing address
PO Box 159, Bogalusa, LA 70429-0159

Authorised official

Name
Michael Gabor
Title
Chief Executive Officer
Phone
(410) 616-1074

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X

Registry record

NPI
1376192484
Entity type
Organization
NPI issued
11 Sep 2019
Record last updated
11 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.