Grief Recovery Center

NPI 1407079163 - Social Worker - 1041C0700X

NPI Details
NPI 1407079163
Enumeration Date 04/11/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATHY R KATHY
Position EXECUTIVE DIRECTOR
Phone (225) 924-6621
Fax (225) 924-6627
Practice Location
4919 JAMESTOWN AVE
SUITE 102
BATON ROUGE LA, 70808-3228, US
Phone (225) 924-6621
Fax (225) 924-6627
Business Location
4919 JAMESTOWN AVE
SUITE 102
BATON ROUGE LA, 70808-3228, US
Phone (225) 924-6621
Fax (225) 924-6627
Toxanomy
Taxonomy Code 1041C0700X
License State Louisiana
License Number 1041C0700X
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According to our database, Grief Recovery Center NPI is 1407079163, taxonomy code is 1041C0700X and license number is 1041C0700X, license state is located at Louisiana. Grief Recovery Center physically located at 4919 Jamestown Ave, Baton Rouge LA, 70808-3228. NPI Number 1033115704 has the healthcare provider type.

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1407079163 NPI number is provided on an as is basis without warranty of any kind. 1407079163 is maintained by the National Plan & Provider Enumeration System. The contents of Grief Recovery Center are for informational purposes only.