Organization
COMMUNITY OUTREACH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTT TEMPLE (CEO)
(225) 939-1324
Entity
Organization
Contact information
Practice address
2133 SILVERSIDE DR STE F, BATON ROUGE, LA 70808-4179
(225) 250-5677
Mailing address
2133 SILVERSIDE DR STE F, BATON ROUGE, LA 70808-4179
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203784152
—
LA
Enumeration date
12/18/2018
Last updated
12/18/2018
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