Organization
SET FREE INDEED MINISTRY
Active
Other names
Free Indeed Intensive Outpatient Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONJA MYLES (CEO)
(225) 924-1910
Entity
Organization
Contact information
Practice address
10473 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 924-1910
Mailing address
10473 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 924-1910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
315
LA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
315
LA
Other
Enumeration date
04/28/2008
Last updated
03/19/2009
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