Provider Demographics
NPI:1215577085
Name:ASSOCIATION RETARDED CITIZENS BATON ROUGE
Entity Type:Organization
Organization Name:ASSOCIATION RETARDED CITIZENS BATON ROUGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:AVET
Authorized Official - Last Name:ROMIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-927-0855
Mailing Address - Street 1:12616 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6248
Mailing Address - Country:US
Mailing Address - Phone:225-927-0855
Mailing Address - Fax:225-924-3935
Practice Address - Street 1:12616 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6248
Practice Address - Country:US
Practice Address - Phone:225-927-0855
Practice Address - Fax:225-924-3935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services