MENT LC

BATON ROUGE, LA
NPI1871162180
Entity TypeOrganization
Authorized ContactJERICA MITCHELL
Owner
225-725-2812
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2021-06-21
Last Update Date2021-06-21
Business Address
MENT LC
4500 GOVERNMENT ST # 64655
BATON ROUGE, LA 70806-5817
Phone number: 225-725-2812
Mailing Address
MENT LC
4500 GOVERNMENT ST # 64655
BATON ROUGE, LA 70806-5817
Phone number: 225-725-2812