Organization
CENIKOR FOUNDATION
Active
Parent organization
CENIKOR FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENIKOR FOUNDATION
Authorized official
MATT KUHLMAN (CFO)
(713) 266-9944
Entity
Organization
Contact information
Practice address
2414 BUNKER HILL DR, BATON ROUGE, LA 70808-3303
(888) 236-4567
(713) 579-2940
Mailing address
PO BOX 4785, MSC 675, HOUSTON, TX 77210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2018
Last updated
11/06/2020
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