Organization
BETA COMMUNITY SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CELIA LOUISE GILMORE LCSW (ADMINISTRATOR)
(225) 929-6355
Entity
Organization
Contact information
Practice address
936 N BON MARCHE DR, BATON ROUGE, LA 70806-2257
(225) 929-6355
(225) 929-6354
Mailing address
936 N BON MARCHE DR, BATON ROUGE, LA 70806-2257
(225) 929-6355
(225) 929-6354
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1723983
—
LA
Enumeration date
05/10/2007
Last updated
08/22/2020
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