Provider Demographics
NPI:1467019000
Name:UNIVERSAL BEHAVIORAL HEALTH HOSPITAL INC
Entity Type:Organization
Organization Name:UNIVERSAL BEHAVIORAL HEALTH HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAVEED
Authorized Official - Middle Name:M
Authorized Official - Last Name:AWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-500-3265
Mailing Address - Street 1:800 S OAK ST
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-4938
Mailing Address - Country:US
Mailing Address - Phone:985-500-3265
Mailing Address - Fax:225-427-1242
Practice Address - Street 1:800 S OAK ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-4938
Practice Address - Country:US
Practice Address - Phone:504-615-6419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital