Organization
BRIDGES TO SERENITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVORY WILSON (OWNER)
(225) 283-1447
Entity
Organization
Contact information
Practice address
660 N FOSTER DR, BATON ROUGE, LA 70806-1871
(225) 283-1447
Mailing address
660 N FOSTER DR, BATON ROUGE, LA 70806-1871
(225) 283-1447
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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