Organization
COMPREHENSIVE INDEPENDENT GOALS INC
Active
Other names
Comprehensive Independent
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE M MCGOWAN (PRES.C.F.O)
(225) 926-5190
Entity
Organization
Contact information
Practice address
2138 WOODDALE BLVD, STE. 3, BATON ROUGE, LA 70806-1443
(225) 926-5190
(225) 926-6964
Mailing address
PO BOX 66037, BATON ROUGE, LA 70896-6037
(225) 926-5190
(225) 926-6964
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1642649
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1642649
—
LA
Enumeration date
02/26/2007
Last updated
08/22/2020
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