Organization
PEEP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HALL BS (EXECUTIVE ADMINISTRATOR)
(318) 512-2505
Entity
Organization
Contact information
Practice address
1411 ORANGE ST, MONROE, LA 71202-2323
(318) 322-0526
Mailing address
1411 ORANGE ST, MONROE, LA 71202-2323
(318) 322-0526
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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