Organization
BAKER COMMUNITY MENTAL HEALTH CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA L COWART (OFFICE MANAGER)
(225) 771-1510
Entity
Organization
Contact information
Practice address
2402 MAIN ST, BAKER, LA 70714-2322
(225) 771-1510
(225) 771-1520
Mailing address
PO BOX 668, BAKER, LA 70704-0668
(225) 771-1510
(225) 771-1520
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
014945
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1335649
—
LA
Enumeration date
09/27/2005
Last updated
12/08/2008
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