| Louisiana Reentry & Rehabilitation Services Inc. | |
|
1116 Jackson St Monroe LA 71202-2024 | |
| (318) 325-1506 | |
| (318) 325-1585 |
| Full Name | Louisiana Reentry & Rehabilitation Services Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1116 Jackson St, Monroe, Louisiana |
| Authorized Official Name and Position | Charles R Theus (PRESIDENT) |
| Authorized Official Contact | 3186141598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Reentry & Rehabilitation Services Inc. 1116 Jackson St Monroe LA 71202-2024 Ph: (318) 325-1506 | Louisiana Reentry & Rehabilitation Services Inc. 1116 Jackson St Monroe LA 71202-2024 Ph: (318) 325-1506 |
| NPI Number | 1427343607 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 06/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427343607 | NPI | - | NPPES |
| STATE LICENSE NUMBER | Other | LA | STATE LICENSE NUMBER 331 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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