Mmo Jennings, LLC

NPI #1073594610 in Sulphur, Louisiana

Provider Information

NPI Number: 1073594610
Entity Type: Organization
Organization Name: Mmo Jennings, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 10, 2005
Last Updated: Jan 11, 2011

Practice Location

Address: 110 DARBONNE ST.
Address 2: STE. E
City: Sulphur
State: Louisiana
ZIP Code: 70663
Phone: (337) 527-7878

Authorized Official

Name: MR. ROBERT L MILLER
Title: CEO
Phone: (225) 293-6774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Day Care — Adult Day Care	261QA0600X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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