Cullen Group, L.l.c. | |
426 N Avenue G Crowley LA 70526-4438 | |
(337) 785-8003 | |
(337) 785-8045 |
Full Name | Cullen Group, L.l.c. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 426 N Avenue G, Crowley, Louisiana |
Authorized Official Name and Position | Mark J Cullen (MANAGER) |
Authorized Official Contact | 3377858003 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cullen Group, L.l.c. 426 N Avenue G Crowley LA 70526-4438 Ph: (337) 785-8003 | Cullen Group, L.l.c. 426 N Avenue G Crowley LA 70526-4438 Ph: (337) 785-8003 |
NPI Number | 1063648921 |
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Provider Enumeration Date | 06/05/2009 |
Last Update Date | 06/05/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063648921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Louisiana) | Primary |
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