Organization
BETA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY SINEGAL (FFT SUPERVISOR)
(337) 315-3594
Entity
Organization
Contact information
Practice address
936 N BON MARCHE DR, BATON ROUGE, LA 70806-2257
(225) 929-6355
Mailing address
936 N BON MARCHE DR, BATON ROUGE, LA 70806-2257
(225) 929-6355
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
721436134
LA
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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