# DDMS OF LOUISIANA NO 2, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982000915
- **Authorized official:** BRETT IAN COHEN (COO)
- **Authorized official phone:** (800) 388-5150

## Contact information

- **Practice address:** 11055 MOLLYLEA DR, BATON ROUGE, LA 70815-5243
- **Practice address phone:** (504) 712-1323
- **Mailing address:** 313 CONGRESS ST, BOSTON, MA 02210-1218
- **Mailing address phone:** (800) 388-5150
- **Mailing address fax:** (617) 790-4271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | LA | Yes |

## Other

- **Enumeration date:** 11/19/2014
- **Last updated:** 03/05/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | APPLIED FOR | — | LA |