Community Rehabilitation Center, Llc | |
2414 Ferrand St Ste 1 Monroe LA 71201-3249 | |
(318) 325-0072 | |
(318) 325-0070 |
Full Name | Community Rehabilitation Center, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2414 Ferrand St Ste 1, Monroe, Louisiana |
Authorized Official Name and Position | Earnest Jerome Wyatt (OWNER) |
Authorized Official Contact | 3185036902 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Community Rehabilitation Center, Llc 2414 Ferrand St Ste 1 Monroe LA 71201-3249 Ph: (318) 325-0072 | Community Rehabilitation Center, Llc 2414 Ferrand St Ste 1 Monroe LA 71201-3249 Ph: (318) 325-0072 |
NPI Number | 1043455538 |
---|---|
Provider Enumeration Date | 12/11/2008 |
Last Update Date | 06/21/2023 |
Certification Date | 06/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043455538 | NPI | - | NPPES |
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