Organization
THE RECOVERY CENTER OF BATON ROUGE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA J BANNISTER LAC CCS CCDPD (CLINICAL DIRECTOR)
(225) 927-7475
Entity
Organization
Contact information
Practice address
1680 LOBDELL AVE STE E, BATON ROUGE, LA 70806-8273
(225) 927-7475
(225) 927-7477
Mailing address
1680 LOBDELL AVE STE E, BATON ROUGE, LA 70806-8273
(225) 927-7475
(225) 927-7477
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
432
LA
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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