| Bethlehem Baptist Church Ofbr | |
|
2274 Wooddale Blvd Baton Rouge LA 70806-1444 | |
| (225) 928-1088 | |
| (225) 932-9488 |
| Full Name | Bethlehem Baptist Church Ofbr |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2274 Wooddale Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Patrice Butler (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 2259281088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bethlehem Baptist Church Ofbr 2274 Wooddale Blvd Baton Rouge LA 70806-1444 Ph: (225) 928-1088 | Bethlehem Baptist Church Ofbr 2274 Wooddale Blvd Baton Rouge LA 70806-1444 Ph: (225) 928-1088 |
| NPI Number | 1184097933 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 11/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184097933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SA20007669 (Louisiana) | Primary |
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