Provider Demographics
NPI:1790870574
Name:BATON ROUGE ALLIANCE FOR TRANSITIONAL LIVING
Entity Type:Organization
Organization Name:BATON ROUGE ALLIANCE FOR TRANSITIONAL LIVING
Other - Org Name:YOUTH OASIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:F
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:225-343-6300
Mailing Address - Street 1:260 S ACADIAN THRUWAY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-5019
Mailing Address - Country:US
Mailing Address - Phone:225-343-6300
Mailing Address - Fax:
Practice Address - Street 1:260 S ACADIAN THRUWAY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-5019
Practice Address - Country:US
Practice Address - Phone:225-343-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty