Department Of Health And Hospitals
Counselor, Addiction (Substance Use Disorder) in Monroe, LA. Organization (NPI-2).
NPI number1083679955
StatusActive
Last updated in NPPESMay 10, 2011
Details
- NPI
- 1083679955
- Entity type
- Organization (NPI-2)
- Legal business name
- Department Of Health And Hospitals
- Organization subpart
- No
- Enumeration date
- Apr 20, 2006
- Last updated
- May 10, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 015 | LA | Yes |
Other names
- Monroe Behavioral Health Clinic (Doing Business As)
Practice location
4800 S Grand StMonroe, LA 71202-6412
Phone 318-362-3339 · Fax 318-362-3336
Mailing address
4800 S Grand StMonroe, LA 71202-6412
Phone 318-362-3339 · Fax 318-362-3336
Authorized official
Mark Debord
Obh Regional Administrator
3183623270
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