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Organization
G B COOLEY ROW
Active
Organization
G B COOLEY ROW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED CALLOWAY (CFO)
(318) 396-6300
Entity
Organization
Contact information
Practice address
211 N 3RD ST, MONROE, LA 71201-6731
(318) 396-6300
(318) 397-9271
Mailing address
211 N 3RD ST, MONROE, LA 71201-6731
(318) 396-6300
(318) 397-9271
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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