Provider Demographics
NPI:1467614875
Name:BATON ROUGE BLACK ALCOHOLISM COUNCIL
Entity Type:Organization
Organization Name:BATON ROUGE BLACK ALCOHOLISM COUNCIL
Other - Org Name:METRO HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WENDELL
Authorized Official - Middle Name:L
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-338-9333
Mailing Address - Street 1:950 EAST WAHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802
Mailing Address - Country:US
Mailing Address - Phone:225-338-9333
Mailing Address - Fax:225-338-9962
Practice Address - Street 1:950 EAST WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-6622
Practice Address - Country:US
Practice Address - Phone:225-338-9333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management