| Positive Direction Iop | |
|
5319 Didesse Dr Ste D Baton Rouge LA 70808-6401 | |
| (225) 757-8044 | |
| Not Available |
| Full Name | Positive Direction Iop |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5319 Didesse Dr Ste D, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Beverly Johnson (ADMINISTRATOR) |
| Authorized Official Contact | 3187301035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Direction Iop 5319 Didesse Dr Ste D Baton Rouge LA 70808-6401 Ph: (225) 757-8044 | Positive Direction Iop 5319 Didesse Dr Ste D Baton Rouge LA 70808-6401 Ph: (225) 757-8044 |
| NPI Number | 1306263132 |
|---|---|
| Provider Enumeration Date | 03/18/2014 |
| Last Update Date | 03/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306263132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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