| NPI | 1104901701 |
|---|---|
| Doing Business As | MMO OF BATON ROUGE |
| Entity Type | Organization |
| Authorized Contact | ROBERT L. MILLER Chief Executive Officer 225-293-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: LA 2791) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-09-07 |