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Organization

EDGEFIELD RECOVERY CENTER DBA POSITIVE DIRECTION IOP

Active
Parent organization
EDGEFIELD RECOVERY CENTER
Other names
Positive Direction IOP
Organization subpart
Yes

Provider details

NPI number
Legal business name
EDGEFIELD RECOVERY CENTER
Authorized official
MS. BEVERLY JOHNSON RN,CCM,CARN (ADMINISTRATOR)
(318) 730-1035
Entity
Organization

Contact information

Practice address
5319 DIDESSE DR STE D, BATON ROUGE, LA 70808-6401
(225) 757-8044
Mailing address
5319 DIDESSE DR STE D, BATON ROUGE, LA 70808-6401
(225) 757-8044

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
03/18/2014
Last updated
03/18/2014
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