| Shifa Commmunity Mental Health Center | |
|
6717 Goya Ave Baton Rouge LA 70806-2171 | |
| (225) 924-9930 | |
| (225) 925-2575 |
| Full Name | Shifa Commmunity Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6717 Goya Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Vincent A Morella (CFO) |
| Authorized Official Contact | 2259277878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shifa Commmunity Mental Health Center 7916 Wrenwood Blvd Suite A Baton Rouge LA 70809-1782 Ph: (225) 927-7878 | Shifa Commmunity Mental Health Center 6717 Goya Ave Baton Rouge LA 70806-2171 Ph: (225) 924-9930 |
| NPI Number | 1982685228 |
|---|---|
| Provider Enumeration Date | 11/11/2005 |
| Last Update Date | 07/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982685228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 194673 (Louisiana) | Primary |
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