| NPI | 1861621237 |
|---|---|
| Doing Business As | ALTERNATIVE CONCEPT CARE SERVICES MONROE |
| Entity Type | Organization |
| Authorized Contact | WAYNE PATRICK WALLACE Director 318-388-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA pca 15252) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |