CHARLES ROBERT YATES

SHREVEPORT, LA
NPI1083239735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-06-09
Last Update Date2020-06-16
Business Address
CHARLES ROBERT YATES
3821 SOUTHERN AVE
SHREVEPORT, LA 71106-1033
Phone number: 318-946-8157
Mailing Address
CHARLES ROBERT YATES
3821 SOUTHERN AVE
SHREVEPORT, LA 71106-1033
Phone number: 318-946-8157