Provider Demographics
NPI:1043751670
Name:UNCONDITIONAL CARE BEHAVIORAL CENTER
Entity Type:Organization
Organization Name:UNCONDITIONAL CARE BEHAVIORAL CENTER
Other - Org Name:UNCONDITIONAL CARE BEHAVIORAL CENTER HOMER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHASSITY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN SPELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-834-4700
Mailing Address - Street 1:4231 HWY 79
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:LA
Mailing Address - Zip Code:71040
Mailing Address - Country:US
Mailing Address - Phone:318-216-5562
Mailing Address - Fax:318-635-8748
Practice Address - Street 1:4231 HWY 79
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:LA
Practice Address - Zip Code:71040
Practice Address - Country:US
Practice Address - Phone:318-216-5562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-15
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health