Organization · Type 2 NPI
Supreme Intervention Center
Adult Day Care Clinic/Center · Monroe, LA
NPI number
1154428373
Active
Practice location
1114 Jackson St
Monroe, LA 71202-2024
Fax (318) 323-3855
Mailing address
PO Box 3141
Monroe, LA 71210-3141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center Primary | 261QA0600X | 2500 (LA) |
Adult Day Care Clinic/Center: Definition to come...
Other adult day care clinic/center providers in Monroe
About NPI 1154428373
Supreme Intervention Center's National Provider Identifier is 1154428373, issued on Sep 20, 2006. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Monroe, LA. The record was last updated on Aug 22, 2020.