Organization · Type 2 NPI
Provisions Care and Residential Services, LLC
Mental Illness Community Based Residential Treatment Facility · Baker, LA
NPI number
1699109983
Active
Practice location
7125 Villere Dr
Baker, LA 70714-5347
Fax (225) 775-8189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1699109983
Provisions Care and Residential Services, LLC's National Provider Identifier is 1699109983, issued on Aug 22, 2013. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Baker, LA. The record was last updated on Aug 22, 2013.