Organization
COGNITIVE DEVELOPMENT CTR PERSONAL CARE SERVIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN FISHER LPC (DIRECTOR)
(318) 651-8080
Entity
Organization
Contact information
Practice address
1811 ROSELAWN AVE, MONROE, LA 71201-5433
(318) 651-8080
(318) 651-8081
Mailing address
PO BOX 7563, MONROE, LA 71211-7563
(318) 651-8080
(318) 651-8081
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
10839
LA
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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