Provider Demographics
NPI:1073146254
Name:CLHG-OAKDALE, LLC
Entity Type:Organization
Organization Name:CLHG-OAKDALE, LLC
Other - Org Name:FREEDOM BEHAVIORAL HOSPITAL OF VILLE PLATTE
Other - Org Type:Other Name
Authorized Official - Title/Position:ASST. CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FATULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-215-3223
Mailing Address - Street 1:PO BOX 629
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:LA
Mailing Address - Zip Code:71463-0629
Mailing Address - Country:US
Mailing Address - Phone:318-335-3700
Mailing Address - Fax:
Practice Address - Street 1:800 E MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-4618
Practice Address - Country:US
Practice Address - Phone:337-363-9470
Practice Address - Fax:337-363-9426
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLHG-OAKDALE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-17
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit