Organization
MICHAEL GAINES AND FAITH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GAINES (DIRECTOR)
(225) 636-2638
Entity
Organization
Contact information
Practice address
13888 PLANK RD, BAKER, LA 70714-4929
(225) 636-2638
Mailing address
13888 PLANK RD, BAKER, LA 70714-4929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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