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1205132255
MIRACLE OUTLOOK FAMILY SERVICES
MONROE, LA
NPI
1205132255
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Entity Type
Organization
Authorized Contact
REGINA JACKSON
Owner
318-343-0400
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2011-02-08
Last Update Date
2011-02-08
Business Address
MIRACLE OUTLOOK FAMILY SERVICES
101 LAKESHORE DR SUITE 12
MONROE, LA 71203-4954
Phone number: 318-343-0400
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Mailing Address
MIRACLE OUTLOOK FAMILY SERVICES
101 LAKESHORE DR SUITE 12
MONROE, LA 71203-4954
Phone number:
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