Organization
ADDICTIONOLOGY RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL GOMEZ (MANAGING MEMBER)
(225) 933-9000
Entity
Organization
Contact information
Practice address
10473 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 933-9000
Mailing address
10473 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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