Organization
ST. CHRISTOPHER'S HALFWAY HOUSE OF LA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE JOHN BEASON (PRESIDENT/CEO)
(225) 490-0999
Entity
Organization
Contact information
Practice address
150 CORA DRIVE, BATON ROUGE, LA 70815-4204
(225) 387-1611
(225) 343-5300
Mailing address
150 CORA DRIVE, BATON ROUGE, LA 70815-4204
(225) 387-1611
(225) 343-5300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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