Organization
EXCEPTIONAL REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA EACKLES (MANAGER)
(225) 439-1720
Entity
Organization
Contact information
Practice address
8155 JEFFERSON HWY, 903, BATON ROUGE, LA 70809-1604
(225) 439-1720
Mailing address
8155 JEFFERSON HWY, 903, BATON ROUGE, LA 70809-1604
(225) 439-1720
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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