GULF SOUTH BR - ABA, LLC

BATON ROUGE, LA
NPI1871089763
Entity TypeOrganization
Authorized ContactKEVIN J BIANCHINI
Managing Member
504-780-1702
Organization Subpart ?No
Primary Taxonomy103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date2018-07-03
Last Update Date2018-07-26
Business Address
GULF SOUTH BR - ABA, LLC
9063 SIEGEN LN STE A
BATON ROUGE, LA 70810
Phone number: 504-780-1702
Mailing Address
GULF SOUTH BR - ABA, LLC
2901 N I 10 SERVICE RD E STE 300
METAIRIE, LA 70002-6137
Phone number: 504-780-1702