Organization
IONA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NATHAN GOMILA PH.D. (ADMINISTRATOR)
(318) 322-0198
Entity
Organization
Contact information
Practice address
1031 PARK AVE, MONROE, LA 71201-3365
(318) 322-0198
Mailing address
1031 PARK AVE, MONROE, LA 71201-3365
(318) 322-0198
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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