| Ascension Counseling And Substance Abuse Center | |
|
1112 E Ascension Complex Blvd Gonzales LA 70737-4265 | |
| (225) 621-5775 | |
| (225) 644-2846 |
| Full Name | Ascension Counseling And Substance Abuse Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1112 E Ascension Complex Blvd, Gonzales, Louisiana |
| Authorized Official Name and Position | Susan C. Mittendorf (DIRECTOR) |
| Authorized Official Contact | 2256215775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Counseling And Substance Abuse Center 1112 E Ascension Complex Blvd Gonzales LA 70737-4265 Ph: (225) 621-5775 | Ascension Counseling And Substance Abuse Center 1112 E Ascension Complex Blvd Gonzales LA 70737-4265 Ph: (225) 621-5775 |
| NPI Number | 1922117514 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 07/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922117514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | FS 3361 (Louisiana) | Primary |
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