Organization
RIVERSOUTH REHABILITATION CENTER,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SAUNDRA L. EUBANKS LPC (ADMINISTRATOR)
(318) 410-1062
Entity
Organization
Contact information
Practice address
1010 N 9TH ST, MONROE, LA 71201-5513
(318) 410-1062
Mailing address
1010 N 9TH ST, MONROE, LA 71201-5513
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1565563
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1565563
—
LA
Enumeration date
05/17/2007
Last updated
08/12/2011
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