Organization
CHRIST ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HARTFIELD-DYELS CA2 (EXECUTIVE DIRECTOR)
(707) 341-0771
Entity
Organization
Contact information
Practice address
700 S 6TH ST, MONROE, LA 71202-2226
(707) 341-0771
Mailing address
700 S 6TH ST, P O BOX 773, MONROE, LA 71202-2226
(707) 341-0771
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
251S00000X
CA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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