Provider Demographics
NPI:1336467877
Name:CATHOLIC CHARITIES OF THE DIOCESE OF BATON ROUGE, INC.
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES OF THE DIOCESE OF BATON ROUGE, INC.
Other - Org Name:CATHOLIC COMMUNITY SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:AGUILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-336-8770
Mailing Address - Street 1:P.O. BOX 1668
Mailing Address - Street 2:1900 S. ACADIAN THRUWAY
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70821-1668
Mailing Address - Country:US
Mailing Address - Phone:225-336-8770
Mailing Address - Fax:225-336-8745
Practice Address - Street 1:1900 S. ACADIAN THRUWAY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808
Practice Address - Country:US
Practice Address - Phone:225-336-8708
Practice Address - Fax:225-336-8703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251S00000XAgenciesCommunity/Behavioral Health