Organization Name: | COGNITIVE DEVELOPMENT CENTER |
NPI Number: | 1538236328 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADRIAN FISHER (DIRECTOR) |
Mailing Address: | 201 S Walnut St Tallulah |
State: | LA US |
Postal Code: | 712824237 |
Phone Number: | 3185741232 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 10062 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |