NPI 1609232644

William Tucker

Organisation Mental Illness Community Based Residential Treatment Facility Baton Rouge, LA

Practice location

Address: 820 Oneal Ln, Baton Rouge, LA 70816-1805
Phone: (706) 200-0197
Mailing address: 6630 Siegen Ln APT 262, Baton Rouge, LA 70809-4583

Authorised official

Name: Jackie Powell
Title: Clinical Director
Phone: (225) 275-3039

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Louisiana →

Registry record

NPI: 1609232644
Entity type: Organization
NPI issued: 6 Jan 2016
Record last updated: 6 Jan 2016

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.