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Organization

COMPREHENSIVE MENTAL HEALTH CENTER OF MONROE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARLTON OTIS NOBLE R.N. (PROGRAM DIRECTOR/MEMBER)
(318) 329-9455
Entity
Organization

Contact information

Practice address
1301 THOMAS RD, SUITES C & D, WEST MONROE, LA 71292-5816
(318) 329-9455
(318) 329-9492
Mailing address
1301 THOMAS RD, SUITES C & D, WEST MONROE, LA 71292-5816
(318) 329-9455
(318) 329-9492

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60106
BCBS
LA
Enumeration date
09/26/2006
Last updated
12/14/2010
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