Healthcare Provider Details

I. General information

NPI: 1063353373
Provider Name (Legal Business Name): AVENUES RECOVERY CENTER AT BATON ROUGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2414 BUNKER HILL DR
BATON ROUGE LA
70808-3303
US

IV. Provider business mailing address

1600 AVENUE OF THE STATES STE 700
LAKEWOOD NJ
08701-4909
US

V. Phone/Fax

Practice location:
  • Phone: 732-967-2635
  • Fax:
Mailing address:
  • Phone: 732-967-2635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: HUDI ALTER
Title or Position: CEO
Credential:
Phone: 732-967-2635