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Organization
COGNITIVE DEVELOPMENT CENTER BEHAVIORAL HEALTH SERVICES
Active
Organization
COGNITIVE DEVELOPMENT CENTER BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEMMALYN PRYOR (SEASIDE HC BILLING SUPERVISOR)
(337) 234-8280
Entity
Organization
Contact information
Practice address
4951 CENTRAL AVE, MONROE, LA 71203-6156
(318) 340-1535
(318) 340-1539
Mailing address
101 FEU FOLLET RD STE 100, LAFAYETTE, LA 70508-4234
(337) 234-8455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
SA0010541
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/22/2015
Last updated
07/07/2023
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