G B Cooley Supervised Ind Liv
NPI #1285807255 in West Monroe, Louisiana
Provider Information
- NPI Number
- 1285807255
- Entity Type
- Organization
- Organization Name
- G B Cooley Supervised Ind Liv
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 10, 2008
- Last Updated
- Apr 10, 2008
Practice Location
- Address
- 364 GB COOLEY RD
- City
- West Monroe
- State
- Louisiana
- ZIP Code
- 71291-8866
- Phone
- (318) 396-6300
Authorized Official
- Name
- MR. JAMES L SANDERLIN, CPA
- Title
- DIRECTOR OF FINANCE
- Phone
- (318) 396-6300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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