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Organization
LOUISIANA BAPTIST CHILDREN'S HOME
Active
Organization
LOUISIANA BAPTIST CHILDREN'S HOME
Active
Other names
Granberry Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY HANCOCK (EXECUTIVE DIRECTOR)
(313) 343-2244
Entity
Organization
Contact information
Practice address
7200 DESIARD ST, MONROE, LA 71203-3913
(318) 343-2244
(318) 343-0613
Mailing address
PO BOX 4196, MONROE, LA 71211-4196
(318) 343-2244
(318) 343-0613
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
11/08/2007
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