Organization
CROSSROADS RECOVERY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE LEBLANC CIT (DIRECTOR)
(337) 255-8742
Entity
Organization
Contact information
Practice address
10377 GOODWOOD BLVD, BATON ROUGE, LA 70815-4526
(337) 255-8742
Mailing address
10377 GOODWOOD BLVD, BATON ROUGE, LA 70815-4526
(337) 255-8742
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NO ISSUER YET, WAITING ON NPI TO APPLY TO BE SERVICE PROVIDER FOR MEDICAID
—
Enumeration date
05/04/2020
Last updated
05/04/2020
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