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Organization
ARRAY OF HOPE OUTREACH CENTER
Active
Organization
ARRAY OF HOPE OUTREACH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEMETRICE MARIE CLARK (ADMINISTRATOR)
(225) 253-1277
Entity
Organization
Contact information
Practice address
11940 BRICKSOME AVE STE C, BATON ROUGE, LA 70816-2594
(225) 250-5829
(225) 250-5879
Mailing address
11940 BRICKSOME AVE STE C, BATON ROUGE, LA 70816-2594
(225) 250-5829
(225) 250-5879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
11/02/2023
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