Whalio Doctors

NPI 1033241195

G B Cooley Services Tennessee

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Monroe, LA

Practice location

Address
210 Tennessee St, Monroe, LA 71203-3944
Phone
(318) 396-6300
Fax
(318) 396-3660
Mailing address
364 Gb Cooley Rd, West Monroe, LA 71291-8866

Authorised official

Name
Ben Pitts
Title
Ceo
Phone
(318) 396-6300

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 813 (LA)

Registry record

NPI
1033241195
Entity type
Organization
NPI issued
12 Mar 2007
Record last updated
22 Aug 2020

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.