Organization
MONROE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTY JO MARTIN (LPN)
(318) 362-3339
Entity
Organization
Contact information
Practice address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
(318) 362-4174
Mailing address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
(318) 362-4174
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
09/26/2007
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