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Organization

LOUIS INFANT CRISIS CENTER

Active
Parent organization
BAYOU AREA CHILDREN'S FOUNDATION
Other names
El Paso House
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAYOU AREA CHILDREN'S FOUNDATION
Authorized official
ROSARIO O'CONNELL (ADMINISTRATOR)
(985) 872-4984
Entity
Organization

Contact information

Practice address
221 EL PASO DR, HOUMA, LA 70360-7309
(985) 872-4984
(985) 872-0017
Mailing address
PO BOX 2866, HOUMA, LA 70361-2866
(985) 872-4984
(985) 872-0017

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
11609
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000000
NON-MEDICAL GROUP HOME CONTRACTING WITH MAGELLAN FOR MEDICAID REIMBURSEMENT
LA
Enumeration date
08/23/2012
Last updated
08/23/2012
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