OrganizationActive
G B Cooley Services South Grand
NPI 1629100862 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Monroe, LA
Provider details
- NPI number
- 1629100862
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ben Pitts, Ceo(318) 396-6300
- License
- 373 (LA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 373 (LA)
Residential Treatment Facilities
Practice location
2103 S Grand St
Monroe, LA 71202-2521
Phone: (318) 396-6300
Fax: (318) 396-3660
Approximate (ZIP-level) locationGet directions
Mailing address
364 Gb Cooley Rd
West Monroe, LA 71291-8866
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.