Healthcare Provider Details
I. General information
NPI: 1477117455
Provider Name (Legal Business Name): CATALDIE PUBLISHING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2019
Last Update Date: 02/02/2021
Certification Date: 02/02/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1255 CAMELIA AVE
BAKER LA
70714-2251
US
IV. Provider business mailing address
3535 BRENTWOOD DR
BATON ROUGE LA
70809-1643
US
V. Phone/Fax
- Phone: 225-270-8068
- Fax:
- Phone: 225-757-8044
- Fax: 225-250-5554
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DUANE
DAVIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 225-413-0732