NPI | 1790158681 |
---|---|
Doing Business As | MONROE BEHAVIORAL HEALTH CHILD AND FAMILY SERVICES - MEDICAL |
Entity Type | Organization |
Authorized Contact | OCTAVIA GREEN Administrative Program Specialist B 318-362-3270 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2015-11-02 |
Last Update Date | 2023-08-30 |