| Ddp Outreach, Llc | |
|
12097 Old Hammond Hwy Ste I2 Baton Rouge LA 70816-8679 | |
| (225) 802-6914 | |
| Not Available |
| Full Name | Ddp Outreach, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 12097 Old Hammond Hwy Ste I2, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Ja'mal Titus (OWNER/CEO) |
| Authorized Official Contact | 2258026914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ddp Outreach, Llc 12097 Old Hammond Hwy Ste I2 Baton Rouge LA 70816-8679 Ph: (225) 831-9249 | Ddp Outreach, Llc 12097 Old Hammond Hwy Ste I2 Baton Rouge LA 70816-8679 Ph: (225) 802-6914 |
| NPI Number | 1669992780 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 05/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669992780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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