# BAYOU RAPIDES REHAB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003920414
- **Authorized official:** MR. JODIE LINCOLN ROBERTS II M.S. (DIRECTOR)
- **Authorized official phone:** (318) 561-2010

## Contact information

- **Practice address:** 3620 BAYOU RAPIDES RD, ALEXANDRIA, LA 71303-3653
- **Practice address phone:** (318) 561-2010
- **Practice address fax:** (318) 561-0098
- **Mailing address:** PO BOX 12368, ALEXANDRIA, LA 71315-2368
- **Mailing address phone:** (318) 561-2010
- **Mailing address fax:** (318) 561-0098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 08/22/2020