Provider Demographics
NPI:1053683466
Name:HARMONY CENTER, INCORPORATED
Entity Type:Organization
Organization Name:HARMONY CENTER, INCORPORATED
Other - Org Name:DELPHINE STREET
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFIIER
Authorized Official - Prefix:
Authorized Official - First Name:COLLIS
Authorized Official - Middle Name:BENTON
Authorized Official - Last Name:TEMPLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:225-383-9139
Mailing Address - Street 1:2736 FLORIDA BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-2719
Mailing Address - Country:US
Mailing Address - Phone:225-383-9139
Mailing Address - Fax:
Practice Address - Street 1:350 DELPHINE ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4985
Practice Address - Country:US
Practice Address - Phone:225-336-5452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1457914Medicaid
LA1716987Medicaid
LA1717231Medicaid
LA1156043Medicaid
LA1439444Medicaid
LA1715425Medicaid
LA1717240Medicaid
LA1713571Medicaid
LA1717070Medicaid
LA1713210Medicaid
LA1457906Medicaid
LA1717177Medicaid
LA193070Medicaid
LA1713481Medicaid
LA1713902Medicaid