# COGNITIVE DEVELOPMENT CTR PERSONAL CARE SERVIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437554904
- **Authorized official:** MR. ADRIAN FISHER LPC (DIRECTOR)
- **Authorized official phone:** (318) 651-8080

## Contact information

- **Practice address:** 1811 ROSELAWN AVE, MONROE, LA 71201-5433
- **Practice address phone:** (318) 651-8080
- **Practice address fax:** (318) 651-8081
- **Mailing address:** PO BOX 7563, MONROE, LA 71211-7563
- **Mailing address phone:** (318) 651-8080
- **Mailing address fax:** (318) 651-8081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 10839 | LA | Yes |

## Other

- **Enumeration date:** 10/27/2014
- **Last updated:** 10/27/2014