| NPI | 1083679955 |
|---|---|
| Doing Business As | MONROE BEHAVIORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK DEBORD Obh Regional Administrator 318-362-3270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 015) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2011-05-10 |