Organization
NOVICE HOUSE OF BATON ROUGE, INC.
Active
Other names
Family Services Unlimited, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTOINETTE M CLARK (OWNER)
(225) 923-1044
Entity
Organization
Contact information
Practice address
11616 SOUTHFORK AVE STE 203, BATON ROUGE, LA 70816-5241
(225) 291-9718
(225) 291-9692
Mailing address
11616 SOUTHFORK AVE STE 203, BATON ROUGE, LA 70816-5241
(225) 291-9718
(225) 291-9692
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600720433
—
LA
Enumeration date
04/09/2010
Last updated
04/21/2016
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