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1770959264
IMPACTBEHAVIOR HEALTH SERVICES LLC
BATON ROUGE, LA
NPI
1770959264
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Entity Type
Organization
Authorized Contact
TRACY B CLARK
CEO
225-771-8849
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
IMPACTBEHAVIOR HEALTH SERVICES LLC
12147 COURSEY BLVD
BATON ROUGE, LA 70816-4410
Phone number: 225-771-8849
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Mailing Address
IMPACTBEHAVIOR HEALTH SERVICES LLC
12147 COURSEY BLVD
BATON ROUGE, LA 70816
Phone number: 225-771-8849
Copy
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