Red River
Red River is a Preferred Provider Organization in Baton Rouge, Louisiana. Licensed in Louisiana. Registered with an NPI since 2016.
- Licensed in
- LA
- In the registry since
- 2016
Practice location Address checks out
11832 Newcastle AveBaton Rouge, LA 70816-8997
Phone: (225) 244-3650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 12883 (LA) |
|---|
Record details
| NPI number | 1659814689 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ashtin Anio — Mentall Health Professional · (225) 244-3650 |
| NPI enumerated | November 22, 2016 |
| Last updated in NPPES | November 22, 2016 |
| Mailing address | 6683 Sandy Creek Ln, Zachary, LA 70791-2696 |
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