Organization
COGNITIVE DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN FISHER (DIRECTOR)
(318) 387-1304
Entity
Organization
Contact information
Practice address
1811 ROSELAWN AVE, MONROE, LA 71201-5433
(318) 651-8078
Mailing address
PO BOX 7563, MONROE, LA 71211-7563
(318) 387-1304
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1470937
—
LA
Enumeration date
04/27/2007
Last updated
08/22/2020
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