OrganizationActive
G B Cooley Moore Rd
NPI 1528182714 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Monroe, LA
Provider details
- NPI number
- 1528182714
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ben Pitts, Chief Executive Officer(318) 396-6300
- License
- 657 (LA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 657 (LA)
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
612 Moore Rd
Monroe, LA 71202-7447
Phone: (318) 396-6300
Fax: (318) 397-9271
Street-level locationGet directions
Mailing address
364 G B Cooley Road
West Monroe, LA 71291-8800
Registry dates
- Enumerated
- 2007-03-16
- 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.