NPI 1174092621

G B Cooley Row

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

Practice location

Address: 211 N 3rd St, Monroe, LA 71201-6731
Phone: (318) 396-6300
Fax: (318) 397-9271

Authorised official

Name: Ted Calloway
Title: Cfo
Phone: (318) 396-6300

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Louisiana →

Registry record

NPI: 1174092621
Entity type: Organization
NPI issued: 14 Nov 2018
Record last updated: 14 Nov 2018

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.