Organization
ETERNAL CRISIS OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENETTA A BELL LAC (EXECUTIVE DIRECTOR)
(225) 326-9166
Entity
Organization
Contact information
Practice address
5759 WRIGHT DR, BATON ROUGE, LA 70812-2355
(225) 326-9166
(225) 354-8334
Mailing address
5759 WRIGHT DR, BATON ROUGE, LA 70812-2355
(225) 387-8240
(225) 387-8241
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
CM 27018
LA
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1889962
—
LA
05
—
1889971
—
LA
05
—
1889989
—
LA
Enumeration date
11/19/2009
Last updated
03/03/2017
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