NPI 1487137626

Bogalusa Restoration Center, LLC

Organisation Psychiatric Residential Treatment Facility Bogalusa, LA

Practice location

Address: 1640 S Columbia St, Bogalusa, LA 70427-5800
Phone: (985) 241-5340
Fax: (985) 241-5341

Authorised official

Name: Jennifer Reiling
Title: Chief Strategic Officer
Phone: (985) 241-5340

Registered specialties (3)

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X

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Foster Care Agency

Agencies Taxonomy 253J00000X

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Emotionally Disturbed Childrens' Residential Treatment Facility

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1487137626
Entity type: Organization
NPI issued: 13 Sep 2018
Record last updated: 14 Nov 2018

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.