Organization
FREEDOM RECOVERY CENTER OF ACADIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE PAUL BAUDOIN (OWNER)
(337) 234-1490
Entity
Organization
Contact information
Practice address
325 KALISTE SALOOM RD, SUITE 100, LAFAYETTE, LA 70508-3877
(337) 234-1490
Mailing address
PO BOX 81726, LAFAYETTE, LA 70598-1726
(337) 234-1490
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MD009000
LA
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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