| Divine Touch Behavioral Health Center Llc | |
|
804 N 31st St Suite B Monroe LA 71201-3945 | |
| (318) 807-4058 | |
| (318) 807-4057 |
| Full Name | Divine Touch Behavioral Health Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 804 N 31st St, Monroe, Louisiana |
| Authorized Official Name and Position | Haronya Aleisha Bates-conway (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3183727589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Touch Behavioral Health Center Llc 804 N 31st St Suite B Monroe LA 71201-3945 Ph: (318) 807-4058 | Divine Touch Behavioral Health Center Llc 804 N 31st St Suite B Monroe LA 71201-3945 Ph: (318) 807-4058 |
| NPI Number | 1033598784 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 05/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033598784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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