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FREE INDEED INTENSIVE OUTPATIENT CLINIC

Rehabilitation, Substance Use Disorder

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Contact Information

FREE INDEED INTENSIVE OUTPATIENT CLINIC
2414 BUNKER HILL DR STE A
BATON ROUGE, LA  70808-3303
 Phone: 225-924-1910
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

 261QR0405X
 

Adolescent and Children Mental Health

 261QM0855X
Indicates primary specialty

NPI Profile & details for FREE INDEED INTENSIVE OUTPATIENT CLINIC

NPI # 1952594814
LBN Legal business name FREE INDEED INTENSIVE OUTPATIENT CLINIC
Authorized official TONJA MYLES - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2007
Last updated 08/23/2007 - About 19 years ago
Identifiers
LA License # 315
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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