Provider First Line Business Practice Location Address:
MONROE REGIONAL MENTAL HEALTH CENTER
Provider Second Line Business Practice Location Address:
4800 SOUTH GRAND ST.
Provider Business Practice Location Address City Name:
MONROE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71202-6412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-362-3261
Provider Business Practice Location Address Fax Number:
318-362-3336
Provider Enumeration Date:
04/12/2006