NPI 1962916544

Promise Behavioral Health Hospital of Shreveport, INC.

Organisation Special Hospital Shreveport, LA

Practice location

Address: 1800 Irving Pl Fl 3, Shreveport, LA 71101-4608
Phone: (318) 425-4096
Fax: (318) 424-2627
Mailing address: 1206 Amiens Dr, Baton Rouge, LA 70810-4605

Authorised official

Name: Maggie McWilliams
Title: Regulatory Specialist
Phone: (225) 281-3076

Registered specialties

Special Hospital Primary

Hospitals Taxonomy 284300000X

Other Special Hospital providers in Louisiana →

Registry record

NPI: 1962916544
Entity type: Organization
NPI issued: 19 Nov 2017
Record last updated: 19 Nov 2017

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.