Organization
DDP OUTREACH, LLC
Active
Organization
DDP OUTREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JA'MAL TITUS (OWNER/CEO)
(225) 802-6914
Entity
Organization
Contact information
Practice address
12097 OLD HAMMOND HWY STE I2, BATON ROUGE, LA 70816-8679
(225) 802-6914
Mailing address
12097 OLD HAMMOND HWY STE I2, BATON ROUGE, LA 70816-8679
(225) 831-9249
(225) 831-9248
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
05/09/2019
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