Provider First Line Business Practice Location Address:
3421 MEDICAL PARK DR
Provider Second Line Business Practice Location Address:
ST. PATRICK'S MENTAL HEALTH SERVICES
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71203-2355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-966-6394
Provider Business Practice Location Address Fax Number:
318-966-6399
Provider Enumeration Date:
05/25/2007