Organization
COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
Active
Parent organization
COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
Other names
CASSE Community Health - Stonewall
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
Authorized official
MR. JEFF MOODY (C.O.O.)
(318) 688-3350
Entity
Organization
Contact information
Practice address
149 STONECREEK DR., STONEWALL, LA 71078-4906
(318) 688-3350
(318) 688-3655
Mailing address
2120 BERT KOUNS INDUSTRIAL LOOP STE A, SHREVEPORT, LA 71118-3351
(318) 688-3350
(318) 688-3655
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
11/27/2017
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