Provider Demographics
NPI:1184001448
Name:SILKWORTH TREATMENT SERVICES
Entity Type:Organization
Organization Name:SILKWORTH TREATMENT SERVICES
Other - Org Name:POSITIVE DIRECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PIERCE
Authorized Official - Last Name:CATALDIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-757-8044
Mailing Address - Street 1:5319 DIDESSE DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-6401
Mailing Address - Country:US
Mailing Address - Phone:225-757-8044
Mailing Address - Fax:813-301-3492
Practice Address - Street 1:5319 DIDESSE DR
Practice Address - Street 2:SUITE D
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-6401
Practice Address - Country:US
Practice Address - Phone:225-757-8044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203782321261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder