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Organization
SET FREE INDEED MINISTRY
Active
Organization
SET FREE INDEED MINISTRY
Active
Other names
Free Indeed Intensive Outpatient Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONJA MYLES (CEO)
(225) 924-1910
Entity
Organization
Contact information
Practice address
10473 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 924-1910
Mailing address
10473 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 924-1910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
315
LA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
315
LA
Other
Enumeration date
04/28/2008
Last updated
03/19/2009
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