| Southern Center For Children And Families, Inc. | |
|
622 Riverside Dr Monroe LA 71201-6211 | |
| (318) 398-0945 | |
| Not Available |
| Full Name | Southern Center For Children And Families, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 622 Riverside Dr, Monroe, Louisiana |
| Authorized Official Name and Position | Matthew Thornton (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3183980945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Center For Children And Families, Inc. 622 Riverside Dr Monroe LA 71201-6211 Ph: (318) 398-0945 | Southern Center For Children And Families, Inc. 622 Riverside Dr Monroe LA 71201-6211 Ph: (318) 398-0945 |
| NPI Number | 1518695519 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518695519 | NPI | - | NPPES |
| 1813249 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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