Organization
LOUISIANA REENTRY & REHABILITATION SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES R THEUS (PRESIDENT)
(318) 614-1598
Entity
Organization
Contact information
Practice address
1116 JACKSON ST, MONROE, LA 71202-2024
(318) 325-1506
(318) 325-1585
Mailing address
1116 JACKSON ST, MONROE, LA 71202-2024
(318) 325-1506
(318) 325-1585
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
STATE LICENSE NUMBER
STATE LICENSE NUMBER 331
LA
Enumeration date
06/15/2011
Last updated
06/15/2011
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