Organization
BETHLEHEM BAPTIST CHURCH OFBR
Active
Organization
BETHLEHEM BAPTIST CHURCH OFBR
Active
Other names
Bethlehem Baptist Drug Treatment Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICE BUTLER CAC, CCS (CLINICAL SUPERVISOR)
(225) 928-1088
Entity
Organization
Contact information
Practice address
2274 WOODDALE BLVD, BATON ROUGE, LA 70806-1444
(225) 928-1088
(225) 932-9488
Mailing address
2274 WOODDALE BLVD, BATON ROUGE, LA 70806-1444
(225) 928-1088
(225) 934-9488
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SA20007669
LA
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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