Cullen Group, L.L.C.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Crowley, LA. Organization (NPI-2).
NPI number1063648921
StatusActive
Last updated in NPPESJun 5, 2009
Details
- NPI
- 1063648921
- Entity type
- Organization (NPI-2)
- Legal business name
- Cullen Group, L.L.C.
- Organization subpart
- No
- Enumeration date
- Jun 5, 2009
- Last updated
- Jun 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | LA | Yes |
Practice location
426 N Avenue GCrowley, LA 70526-4438
Phone 337-785-8003 · Fax 337-785-8045
Mailing address
426 N Avenue GCrowley, LA 70526-4438
Phone 337-785-8003 · Fax 337-785-8045
Authorized official
Mark J Cullen
Manager
3377858003
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