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Organization
MMO OF GONZALES, LLC
Active
Organization
MMO OF GONZALES, LLC
Active
Other names
On Track Community Health Center LLC dbaSilver Options Center On-Track
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L. MILLER (CEO)
(225) 293-6774
Entity
Organization
Contact information
Practice address
305 SOUTH BURNSIDE AVE., SUITE D, GONZALES, LA 70737
(225) 621-2760
(225) 621-2768
Mailing address
728 NORTH BLVD, BATON ROUGE, LA 70802-5724
(225) 621-2760
(225) 621-2768
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
531032
LA
Other
Enumeration date
12/01/2006
Last updated
07/02/2010
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