Organization
THERAPEUTIC REFUGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA A PRIMEAUX (OWNER)
(225) 718-6831
Entity
Organization
Contact information
Practice address
103 GISELE ST, NEW ROADS, LA 70760-2716
(225) 323-8180
Mailing address
13920 VENTRESS RD, VENTRESS, LA 70783-4001
(225) 718-6831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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