Organization
COGNITIVE DEVELOPMENT CENTER OF BATON ROUGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEMMALYN PRYOR (SEASIDE HC BILLING SUPERVISOR)
(337) 234-8280
Entity
Organization
Contact information
Practice address
8706 JEFFERSON HWY STE A, BATON ROUGE, LA 70809-2233
(225) 926-9706
Mailing address
101 FEU FOLLET RD STE 100, LAFAYETTE, LA 70508-4234
(337) 234-8455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/16/2011
Last updated
06/30/2023
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