G B Cooley Moore RD
G B Cooley Moore RD is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Monroe, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.
- Licensed in
- LA
- In the registry since
- 2007
Practice location Address checks out
612 Moore RdMonroe, LA 71202-7447
Phone: (318) 396-6300
Fax: (318) 397-9271
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 657 (LA) |
|---|
Record details
| NPI number | 1528182714 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ben Pitts — Chief Executive Officer · (318) 396-6300 |
| NPI enumerated | March 16, 2007 |
| Last updated in NPPES | November 15, 2018 |
| Mailing address | 364 G B Cooley Road, West Monroe, LA 71291-8800 |
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