Organization
ASCENSION WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WENDELL BRUCE SMITH RN (ADMINISTRATOR)
(225) 644-3315
Entity
Organization
Contact information
Practice address
2255 S BURNSIDE AVE, GONZALES, LA 70737-4642
(225) 644-3315
(225) 644-4315
Mailing address
2255 S BURNSIDE AVE, GONZALES, LA 70737-4642
(225) 644-3315
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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