Organization · NPI-2

Array Of Hope Outreach Center

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

NPI number1194173005

StatusActive

Last updated in NPPESNov 2, 2023

Details

NPI: 1194173005
Entity type: Organization (NPI-2)
Legal business name: Array Of Hope Outreach Center
Organization subpart: No
Enumeration date: Jun 1, 2016
Certification date: Nov 2, 2023
Last updated: Nov 2, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes
101YM0800X	Counselor, Mental Health	–	–
251S00000X	Community/Behavioral Health	–	–

Practice location

11940 Bricksome Ave Ste C
Baton Rouge, LA 70816-2594

Phone 225-250-5829 · Fax 225-250-5879

Mailing address

11940 Bricksome Ave Ste C
Baton Rouge, LA 70816-2594

Phone 225-250-5829 · Fax 225-250-5879

Other practice locations

8261 Summa Ave Ste G
Baton Rouge, LA 70809-3452

Phone 225-253-1277 · Fax 225-313-4063

Authorized official

Demetrice Marie Clark
Administrator
2252531277

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