Organization
ETHOS COORDINATED CARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY LEWIS (CEO)
(225) 456-7098
Entity
Organization
Contact information
Practice address
4142 LASSEN DR, BATON ROUGE, LA 70814-5126
(225) 802-0289
Mailing address
1821 WOODDALE CT, SUITE 101, BATON ROUGE, LA 70806-1535
(225) 802-0289
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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