Organization
GRIEF RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY VILAS MS (EXECUTIVE DIRECTOR)
(225) 924-6621
Entity
Organization
Contact information
Practice address
4919 JAMESTOWN AVE STE 101, BATON ROUGE, LA 70808-3228
(225) 924-6621
(225) 924-6627
Mailing address
4919 JAMESTOWN AVE STE 101, BATON ROUGE, LA 70808-3228
(225) 924-6621
(225) 924-6627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3453
LA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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