Organization
SME COALITION FOR CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSIE ETHELIN KING-DUNCAN LMSW (ADMINISTRATIVE DIRECTOR)
(210) 240-3198
Entity
Organization
Contact information
Practice address
12278 PLANK RD., BATON ROUGE, LA 70811-1035
(225) 364-9428
(225) 341-6797
Mailing address
12278 PLANK RD., BATON ROUGE, LA 70811-1035
(225) 364-9428
(225) 341-6797
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
01/30/2024
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