Organization · NPI-2

Addictionology Recovery Center

Clinic/Center · Baton Rouge, LA

NPI number1295165348
StatusActive
Last updated in NPPESNov 26, 2013

Details

NPI
1295165348
Entity type
Organization (NPI-2)
Legal business name
Addictionology Recovery Center
Organization subpart
No
Enumeration date
Nov 26, 2013
Last updated
Nov 26, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

10473 Old Hammond Hwy
Baton Rouge, LA 70816-8264

Phone 225-933-9000

Mailing address

10473 Old Hammond Hwy
Baton Rouge, LA 70816-8264

Authorized official

Randal Gomez
Managing Member
2259339000

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