NPI 1306481445

Upgrade Group Home LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Baton Rouge, LA

Practice location

Address: 3719 Katherine Ave 3719 Katherine Ave, Baton Rouge, LA 70805
Phone: (225) 394-9271

Authorised official

Name: Carl Williams
Title: Dr of Theology
Phone: (225) 394-9271

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1306481445
Entity type: Organization
NPI issued: 13 Nov 2019
Record last updated: 13 Nov 2019

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.