| Freedom Recovery Center Of Acadiana | |
|
325 Kaliste Saloom Rd Suite 100 Lafayette LA 70508-3877 | |
| (337) 234-1490 | |
| Not Available |
| Full Name | Freedom Recovery Center Of Acadiana |
|---|---|
| Speciality | Clinic/Center |
| Location | 325 Kaliste Saloom Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Bruce Paul Baudoin (OWNER) |
| Authorized Official Contact | 3372341490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Recovery Center Of Acadiana Po Box 81726 Lafayette LA 70598-1726 Ph: (337) 234-1490 | Freedom Recovery Center Of Acadiana 325 Kaliste Saloom Rd Suite 100 Lafayette LA 70508-3877 Ph: (337) 234-1490 |
| NPI Number | 1518116227 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 09/17/2008 |
| Medicare PECOS PAC ID | 1850731811 |
|---|---|
| Medicare Enrollment ID | O20240424003971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518116227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MD009000 (Louisiana) | Primary |
| Provider Name | Mary E Corry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326078213 PECOS PAC ID: 9739199597 Enrollment ID: I20060425000408 |
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