OrganizationActive
G B Cooley-Willow Group Home
NPI 1427299767 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · West Monroe, LA
Provider details
- NPI number
- 1427299767
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ted Calloway, Cfo(318) 396-6300
- License
- 1049 (LA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 1049 (LA)
Residential Treatment Facilities
Practice location
364 Gb Cooley Rd
West Monroe, LA 71291-8866
Phone: (318) 396-6300
Fax: (318) 396-7663
Approximate (ZIP-level) locationGet directions
Mailing address
211 N 3rd St
Monroe, LA 71201-6731
Registry dates
- Enumerated
- 2009-03-17
- Last updated
- 2018-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.