Organization
BETHLEHEM BAPTIST CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICE A BUTLER CAC, CCS (CLINICAL SUPERVISOR)
(225) 928-1088
Entity
Organization
Contact information
Practice address
1011 N BON MARCHE DR, BATON ROUGE, LA 70806-2262
(225) 928-1088
(225) 932-9488
Mailing address
1011 N BON MARCHE DR, BATON ROUGE, LA 70806-2262
(225) 928-1088
(225) 932-9488
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
418
LA
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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