NPI 1013466051

Cognitive Development Center

Organisation Preferred Provider Organization Monroe, LA

Practice location

Address: 316 Woodale Dr APT 11, Monroe, LA 71203-2712
Phone: (318) 600-6045

Authorised official

Name: Chellcy Jackson
Title: Mhp
Phone: (318) 418-0329

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Louisiana →

Registry record

NPI: 1013466051
Entity type: Organization
NPI issued: 3 Oct 2016
Record last updated: 3 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.