Whalio Doctors

NPI 1073732954

Cb's Place Group Home

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Baton Rouge, LA

Practice location

Address
2736 Florida Blvd, Baton Rouge, LA 70802-2719
Phone
(225) 383-9139
Fax
(225) 336-5431
Mailing address
1560 C B Temple Rd, Kentwood, LA 70444-3005

Authorised official

Name
Collis Benton Temple
Title
Executive Director
Phone
(225) 383-9139

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 1004 (LA)

Registry record

NPI
1073732954
Entity type
Organization
NPI issued
25 Apr 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.