Organization
REHAB SERVICES OF NE LA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW ST. AMANT (OWNER/MANAGING PARTNER)
(318) 208-8709
Entity
Organization
Contact information
Practice address
4306 S. GRANDE, MONROE, LA 71202-2337
(318) 324-5441
(318) 324-5442
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
(318) 746-0420
(318) 626-5429
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/04/2010
Last updated
07/24/2023
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