NPI 1528755428

Belaire Youth Home

Organisation Mental Illness Community Based Residential Treatment Facility Shreveport, LA

Practice location

Address: 6530 Burke St, Shreveport, LA 71108-4435
Phone: (318) 470-6881

Authorised official

Name: Jarica Johnson
Title: Owner
Phone: (318) 693-0059

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Louisiana →

Emotionally Disturbed Childrens' Residential Treatment Facility

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Louisiana →

Registry record

NPI: 1528755428
Entity type: Organization
NPI issued: 20 Apr 2023
Record last updated: 16 Jul 2024

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.