MIND REHABILITATION AND RESOURCE CENTER

SHREVEPORT, LA
NPI1912364068
Entity TypeOrganization
Authorized ContactKEN CHINWEZE
Owner
318-828-1455
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: LA  101ym0800x)
Enumeration Date2016-01-20
Last Update Date2016-01-20
Business Address
MIND REHABILITATION AND RESOURCE CENTER
1513 LINE AVE SUITE 135
SHREVEPORT, LA 71101-4621
Phone number: 318-828-1455
Mailing Address
MIND REHABILITATION AND RESOURCE CENTER
1513 LINE AVE SUITE 135
SHREVEPORT, LA 71101-4621
Phone number: 318-828-1455
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