Organization
GOLDEN RULE ENHANCED OF LOUISIANA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIMONA YVONNE MITCHELL (EXECUTIVE DIRECTOR)
(704) 724-9995
Entity
Organization
Contact information
Practice address
5700 FLORIDA BLVD, SUITE 412, BATON ROUGE, LA 70806-4274
(704) 724-9995
Mailing address
PO BOX 29321, CHARLOTTE, NC 28229-9321
(704) 724-9995
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10067123#N8E52
LA
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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