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Organization
ST. CHRISTOPHER'S HALFWAY HOUSE OF LA, INC.
Active
Organization
ST. CHRISTOPHER'S HALFWAY HOUSE OF LA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE JOHN BEASON (PRESIDENT/CEO)
(225) 490-0999
Entity
Organization
Contact information
Practice address
150 CORA DRIVE, BATON ROUGE, LA 70815-4204
(225) 387-1611
(225) 343-5300
Mailing address
150 CORA DRIVE, BATON ROUGE, LA 70815-4204
(225) 387-1611
(225) 343-5300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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