Organization
LOUISIANA RE-ENTRY & REHABILITATION SERVICES- WEST MONROE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD DUVON STEWMAN (PRESIDENT)
(225) 247-2499
Entity
Organization
Contact information
Practice address
1301 THOMAS RD, SUITE D, WEST MONROE, LA 71292-5816
(318) 322-3349
(318) 322-3855
Mailing address
1301 THOMAS RD, SUITE D, WEST MONROE, LA 71292-5816
(318) 322-3349
(318) 322-3855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1104
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
653435WM
MHSD
LA
Enumeration date
02/02/2009
Last updated
02/02/2009
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