Provider First Line Business Practice Location Address:
2100 OLIVER RD
Provider Second Line Business Practice Location Address:
OAKHAVEN CMHC OF MONROE
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-329-9455
Provider Business Practice Location Address Fax Number:
318-329-9492
Provider Enumeration Date:
04/06/2007