| Beta | |
|
936 N Bon Marche Dr Baton Rouge LA 70806-2257 | |
| (225) 929-6355 | |
| (225) 929-6354 |
| Full Name | Beta |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 936 N Bon Marche Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Pamela Anita Warren (MHP) |
| Authorized Official Contact | 2254858375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beta 936 N Bon Marche Dr Baton Rouge LA 70806-2257 Ph: (225) 929-6355 | Beta 936 N Bon Marche Dr Baton Rouge LA 70806-2257 Ph: (225) 929-6355 |
| NPI Number | 1720447329 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 02/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720447329 | NPI | - | NPPES |
| 1159204 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Louisiana) | Primary |
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