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Organization

FREE INDEED INTENSIVE OUTPATIENT CLINIC

Active
Other names
Set Free Indeed, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TONJA R. MYLES (CEO/PRESIDENT)
(225) 924-1910
Entity
Organization

Contact information

Practice address
2414 BUNKER HILL DR STE A, BATON ROUGE, LA 70808-3303
(225) 924-1910
Mailing address
2414 BUNKER HILL DR STE A, BATON ROUGE, LA 70808-3303
(225) 924-1910

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
315
LA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
315
LA

Other

Enumeration date
08/23/2007
Last updated
08/23/2007
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