| New Start Iop | |
|
10512 S Glenstone Pl Baton Rouge LA 70810-2966 | |
| (225) 751-5412 | |
| (225) 751-5847 |
| Full Name | New Start Iop |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 10512 S Glenstone Pl, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Lawrence Sullivan Salone (FOUNDER) |
| Authorized Official Contact | 2253618225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Start Iop Po Box 83814 Baton Rouge LA 70884-3814 Ph: (225) 361-8225 | New Start Iop 10512 S Glenstone Pl Baton Rouge LA 70810-2966 Ph: (225) 751-5412 |
| NPI Number | 1194470906 |
|---|---|
| Provider Enumeration Date | 02/21/2022 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194470906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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