| Louisiana Re-entry & Rehabilitation Services- West Monroe | |
|
1301 Thomas Rd Suite D West Monroe LA 71292-5816 | |
| (318) 322-3349 | |
| (318) 322-3855 |
| Full Name | Louisiana Re-entry & Rehabilitation Services- West Monroe |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1301 Thomas Rd, West Monroe, Louisiana |
| Authorized Official Name and Position | Reginald Duvon Stewman (PRESIDENT) |
| Authorized Official Contact | 2252472499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Re-entry & Rehabilitation Services- West Monroe 1301 Thomas Rd Suite D West Monroe LA 71292-5816 Ph: (318) 322-3349 | Louisiana Re-entry & Rehabilitation Services- West Monroe 1301 Thomas Rd Suite D West Monroe LA 71292-5816 Ph: (318) 322-3349 |
| NPI Number | 1407094253 |
|---|---|
| Provider Enumeration Date | 02/02/2009 |
| Last Update Date | 02/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407094253 | NPI | - | NPPES |
| 653435WM | Other | LA | MHSD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1104 (Louisiana) | Primary |
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