Jefferson Oaks Professional Services
Clinic/Center, Adult Mental Health in Baton Rouge, LA. Organization (NPI-2).
NPI number1306207253
StatusActive
Last updated in NPPESApr 28, 2016
Details
- NPI
- 1306207253
- Entity type
- Organization (NPI-2)
- Legal business name
- Jefferson Oaks Professional Services
- Organization subpart
- Yes
- Enumeration date
- Mar 18, 2016
- Last updated
- Apr 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | BH0007833 | LA | Yes |
Practice location
8318 Jefferson HwySte. A
Baton Rouge, LA 70809-0800
Phone 225-927-5624 · Fax 225-927-5611
Mailing address
8318 Jefferson HwySte. A
Baton Rouge, LA 70809-0800
Phone 225-927-5624 · Fax 225-927-5611
Authorized official
Cheryl J Doub
Ceo
2259275624
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