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Organization
COMMUNITY REHABILITATION CENTER, LLC
Active
Organization
COMMUNITY REHABILITATION CENTER, LLC
Active
Other names
Community Rehabilitation Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EARNEST JEROME WYATT (OWNER)
(318) 503-6902
Entity
Organization
Contact information
Practice address
2414 FERRAND ST STE 1, MONROE, LA 71201-3249
(318) 325-0072
(318) 325-0070
Mailing address
2414 FERRAND ST STE 1, MONROE, LA 71201-3249
(318) 325-0072
(318) 325-0070
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/11/2008
Last updated
06/21/2023
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