Baker Community Mental Health Center,llc | |
2402 Main St Baker LA 70714-2322 | |
(225) 771-1510 | |
(225) 771-1520 |
Full Name | Baker Community Mental Health Center,llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2402 Main St, Baker, Louisiana |
Authorized Official Name and Position | Jessica L Cowart (OFFICE MANAGER) |
Authorized Official Contact | 2257711510 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Baker Community Mental Health Center,llc Po Box 668 Baker LA 70704-0668 Ph: (225) 771-1510 | Baker Community Mental Health Center,llc 2402 Main St Baker LA 70714-2322 Ph: (225) 771-1510 |
NPI Number | 1003802745 |
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Provider Enumeration Date | 09/27/2005 |
Last Update Date | 12/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003802745 | NPI | - | NPPES |
1335649 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 014945 (Louisiana) | Primary |
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