Healthcare Provider Details
I. General information
NPI: 1346512753
Provider Name (Legal Business Name): HARMONY CENTER, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/31/2012
Last Update Date: 01/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
60 ROUGEAU LN
LECOMPTE LA
71346-9506
US
IV. Provider business mailing address
2736 FLORIDA BLVD
BATON ROUGE LA
70802-2719
US
V. Phone/Fax
- Phone: 318-776-8800
- Fax:
- Phone: 225-383-9139
- Fax: 225-336-4861
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 322D00000X |
| Taxonomy | Emotionally Disturbed Childrens' Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
COLLIS
BENTON
TEMPLE
JR.
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 225-383-9139