Cognitive Development Center, LLC

NPI #1538236328 in Tallulah, Louisiana

Provider Information

NPI Number: 1538236328
Entity Type: Organization
Organization Name: Cognitive Development Center, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 29, 2006
Last Updated: Sep 7, 2023

Practice Location

Address: 1705 FELICIA AVE
City: Tallulah
State: Louisiana
ZIP Code: 71282-8203
Phone: (319) 574-1232

Authorized Official

Name: GEMMALYN M PRYOR
Title: SEASIDE HC BILLING SUPERVISOR
Phone: (337) 234-8280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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