Organization
MILDRED EUAL CENTER INC
Active
Other names
MECI
Organization subpart
No
Provider details
NPI number
Authorized official
NIKTA NICOLE BLACK (DIRECTOR)
(318) 349-0907
Entity
Organization
Contact information
Practice address
3018 OLD MINDEN RD STE 1117, BOSSIER CITY, LA 71112-2497
(318) 349-0907
Mailing address
3018 OLD MINDEN RD STE 1117, BOSSIER CITY, LA 71112-2497
(318) 349-0907
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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