| Impact Group Bhs | |
|
59335 River West Dr Ste B Plaquemine LA 70764-6553 | |
| (225) 372-2693 | |
| Not Available |
| Full Name | Impact Group Bhs |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 59335 River West Dr Ste B, Plaquemine, Louisiana |
| Authorized Official Name and Position | Rod T Royal (CHEIF MARKETING OFFICER) |
| Authorized Official Contact | 2253722693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Group Bhs 59335 River West Dr Ste B Plaquemine LA 70764-6553 Ph: (225) 372-2693 | Impact Group Bhs 59335 River West Dr Ste B Plaquemine LA 70764-6553 Ph: (225) 372-2693 |
| NPI Number | 1255705828 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 06/26/2023 |
| Certification Date | 06/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255705828 | NPI | - | NPPES |
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