| Department Of Health And Hospitals | |
|
4800 S Grand St Monroe LA 71202-6412 | |
| (318) 362-3339 | |
| (318) 362-3336 |
| Full Name | Department Of Health And Hospitals |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4800 S Grand St, Monroe, Louisiana |
| Authorized Official Name and Position | Mark Debord (OBH REGIONAL ADMINISTRATOR) |
| Authorized Official Contact | 3183623270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Health And Hospitals 4800 S Grand St Monroe LA 71202-6412 Ph: (318) 362-3339 | Department Of Health And Hospitals 4800 S Grand St Monroe LA 71202-6412 Ph: (318) 362-3339 |
| NPI Number | 1083679955 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 05/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083679955 | NPI | - | NPPES |
| B6214 | Other | LA | BCBSLA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 015 (Louisiana) | Primary |
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