| Free Indeed Intensive Outpatient Clinic | |
|
10473 Old Hammond Hwy Baton Rouge LA 70816-8264 | |
| (225) 924-1910 | |
| Not Available |
| Full Name | Free Indeed Intensive Outpatient Clinic |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 10473 Old Hammond Hwy, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Tonja Myles (CEO) |
| Authorized Official Contact | 2259241910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Free Indeed Intensive Outpatient Clinic 10473 Old Hammond Hwy Baton Rouge LA 70816-8264 Ph: (225) 924-1910 | Free Indeed Intensive Outpatient Clinic 10473 Old Hammond Hwy Baton Rouge LA 70816-8264 Ph: (225) 924-1910 |
| NPI Number | 1346415643 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 03/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346415643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 315 (Louisiana) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 315 (Louisiana) | Primary |
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