Organization
SOCIAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAJIA JOHNSON (CHIEF EXECUTIVE OFFICER)
(713) 835-5096
Entity
Organization
Contact information
Practice address
1205 N 18TH ST STE 101A, MONROE, LA 71201-5400
(713) 835-5096
Mailing address
1205 N 18TH ST STE 101A, MONROE, LA 71201-5400
(713) 835-5096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
02/20/2024
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