Organization
G B COOLEY SERVICES PARKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN PITTS (CEO)
(318) 396-6300
Entity
Organization
Contact information
Practice address
1028 PARKER RD, MONROE, LA 71202-7472
(318) 396-6300
(318) 396-3660
Mailing address
364 GB COOLEY RD, WEST MONROE, LA 71291-8866
(318) 396-6300
(318) 396-3660
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
504
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1717347
—
LA
Enumeration date
03/12/2007
Last updated
08/22/2020
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