NPI: 1043455538
Provider Name: COMMUNITY REHABILITATION CENTER, LLC
Doing Business As: COMMUNITY REHABILITATION CENTER, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
2414 FERRAND ST STE 1
MONROE, LA
ZIP 71201
Phone: (318) 325-0072
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COMMUNITY REHABILITATION CENTER, LLC is a mental health (including community mental health center) clinic center in Monroe, LA. COMMUNITY REHABILITATION CENTER, LLC NPI is 1043455538. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Rehabilitation Center, Llc.
The provider's business location address is:
2414 FERRAND ST STE 1
MONROE, LA
ZIP 71201-249
Phone: (318) 325-0072
Fax: (318) 325-0070
The provider's authorized official is Earnest Jerome Wyatt .
The authorized official title is Owner and has the following contact phone number (318) 503-6902.
The enumeration date for this NPI number is 12/11/2008 and was last updated on 6/21/2023.