Healthcare Provider Details

I. General information

NPI: 1922855816
Provider Name (Legal Business Name): A1 CRISIS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3835 CHOCTAW DR
BATON ROUGE LA
70805-6721
US

IV. Provider business mailing address

3835 CHOCTAW DR
BATON ROUGE LA
70805-6721
US

V. Phone/Fax

Practice location:
  • Phone: 225-250-5244
  • Fax:
Mailing address:
  • Phone: 225-250-5244
  • 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: CARL WILLIAMS
Title or Position: OWNER
Credential:
Phone: 225-278-6082