| Another Chance Enterprise Support Services Inc | |
|
2901 Evangeline St Monroe LA 71201-3723 | |
| (318) 267-2674 | |
| (318) 582-5166 |
| Full Name | Another Chance Enterprise Support Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2901 Evangeline St, Monroe, Louisiana |
| Authorized Official Name and Position | Sidney Moss (ADMINISTER DIRECTOR) |
| Authorized Official Contact | 3182672674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Another Chance Enterprise Support Services Inc 2901 Evangeline St Monroe LA 71201-3723 Ph: (318) 267-2674 | Another Chance Enterprise Support Services Inc 2901 Evangeline St Monroe LA 71201-3723 Ph: (318) 267-2674 |
| NPI Number | 1851973879 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851973879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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