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Organization

FAMILY SERVICE OF GREATER BATON ROUGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RENE TAYLOR (EXECUTIVE DIRECTOR)
(225) 924-0123
Entity
Organization

Contact information

Practice address
4727 REVERE AVE, BATON ROUGE, LA 70808-3168
(225) 924-0123
(225) 924-5455
Mailing address
4727 REVERE AVE, BATON ROUGE, LA 70808-3168
(225) 924-0123
(225) 924-5455

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4352
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1996190
LA
Enumeration date
06/13/2013
Last updated
06/13/2013
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