Obh-Ruston Addictive Disorders Clinic

LBN: Department Of Health And Hospitals
Obh-Ruston Addictive Disorders Clinic is an health care organization with primary practice located at 602 E Georgia Ave , Ruston LA 71270-3931. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Multi-Specialty. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Department Of Health And Hospitals can be contacted via phone (318) 251-4125, or through Parks, Phyllis Jerri via phone (318) 362-3270.

Contact Information

Primary practice address
602 E Georgia Ave Ruston LA 71270-3931
Phone: (318) 251-4125
Fax: (318) 251-5000
Website:
Map and Directions
Authorized official contact:
Name: Parks, Phyllis Jerri MSW
Phone: (318) 362-3270

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 880 Louisiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC1223 Louisiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RAC1224 Louisiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW 4518 Louisiana
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X MD010285 Louisiana

Profile Details

NPI number 1962468819
LBN Legal business name Department Of Health And Hospitals
DBA Doing business as Obh-Ruston Addictive Disorders Clinic
Authorized official Parks, Phyllis Jerri MSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Aug 25th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962468819 NPPES
Louisiana Other H2376 BCBSLA

Popular Providers