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Organization
NEW FAITH REHABILITATION
Active
Organization
NEW FAITH REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA KENNEDY (OWNER)
(225) 439-1720
Entity
Organization
Contact information
Practice address
1755 WOODDALE BLVD, BATON ROUGE, LA 70806-1508
(225) 439-1720
Mailing address
1755 WOODDALE BLVD, BATON ROUGE, LA 70806-1508
(225) 439-1720
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
LA
101YM0800X
Mental Health Counselor
—
LA
101YP1600X
Pastoral Counselor
—
LA
261QM0850X
Adult Mental Health Clinic/Center
—
LA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
LA
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
LA
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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