Healthcare Provider Details

I. General information

NPI: 1336467877
Provider Name (Legal Business Name): CATHOLIC CHARITIES OF THE DIOCESE OF BATON ROUGE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 05/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 S. ACADIAN THRUWAY
BATON ROUGE LA
70808
US

IV. Provider business mailing address

P.O. BOX 1668 1900 S. ACADIAN THRUWAY
BATON ROUGE LA
70821-1668
US

V. Phone/Fax

Practice location:
  • Phone: 225-336-8708
  • Fax: 225-336-8703
Mailing address:
  • Phone: 225-336-8770
  • Fax: 225-336-8745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. DAVID C. AGUILLARD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 225-336-8770