Organization · NPI-2

360 Recovery Group LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Baton Rouge, LA

NPI number1033738562
StatusActive
Last updated in NPPESJul 18, 2023

Details

NPI
1033738562
Entity type
Organization (NPI-2)
Legal business name
360 Recovery Group LLC
Organization subpart
No
Enumeration date
Apr 14, 2020
Certification date
Jul 18, 2023
Last updated
Jul 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Na (Other Name)

Practice location

6220 Florida Blvd Ste D
Baton Rouge, LA 70806-4556

Phone 225-810-3885 · Fax 833-810-3885

Mailing address

6220 Florida Blvd Ste D
Baton Rouge, LA 70806-4556

Phone 225-810-3885 · Fax 833-810-3885

Authorized official

Jaliah Pabon
Administrator
2258103885

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Baton Rouge, LA